Organization Active NPI

Robert W Warner DC PA

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1982601183
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-03798 Issued in KS
Legal business name
ROBERT W WARNER DC PA
Practice address
2112 Bob Billings Pkwy
Ste 1
Lawrence, KS 66049-2722
Phone
(785) 843-3033
Fax
(785) 843-3127
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert W Warner, DCNPI 1083802664
Title
Owner/Chiropractor
Phone
(785) 843-3033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-03798 KS Primary

Addresses

Primary practice location

2112 Bob Billings Pkwy
Ste 1
Lawrence, KS 66049-2722

Mailing address

2112 Bob Billings Pkwy
Ste 1
Lawrence, KS 66049-2722
Phone (785) 843-3033

Other identifiers 8

IdentifierTypeStateIssuer
23875019OtherMOBLUE CROSS OF KANSAS CITY
660198OtherKSBLUE CROSS BLUE SHIELD KS
10881944OtherKSCAQH CREDENTIALING DATA
37371OtherKSPREFERRED HEALTH PROFESSI
007359OtherKSBLUE CROSS BLUE SHIELD
160522OtherKSUNITED HEALTHCARE
5305636OtherKSAETNA
DG5147OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000795 KS Part B Supplier - Clinic/Group Practice 4486734977 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

2112 Bob Billings Pkwy
Ste 1
Lawrence, KS 66049
Phone (785) 843-3033

536 Fireside Ct
Ste C
Lawrence, KS 66049
Phone (785) 843-3033

2112 Bob Billings Pkwy
Lawrence, KS 66049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1982601183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BOB BILLINGS PKWY",
            "address_2": "STE 1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492722",
            "telephone_number": "785-843-3033",
            "fax_number": "785-843-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BOB BILLINGS PKWY",
            "address_2": "STE 1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492722",
            "telephone_number": "785-843-3033",
            "fax_number": "785-843-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W WARNER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "785-843-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF KANSAS CITY",
            "identifier": "23875019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KS",
            "identifier": "660198",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH CREDENTIALING DATA",
            "identifier": "10881944",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PROFESSI",
            "identifier": "37371",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007359",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "160522",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5305636",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5147",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.