MEDICARE: ROBERTS WELLNESS CENTER, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor	4777	KS
2	111NR0400X	Rehabilitation Chiropractor	4777	KS
3	111NS0005X	Sports Physician Chiropractor	4777	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	59757	OTHER	KS	BCBS PROVIDER #

General Provider Information

NPI Number	:	1730300831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERTS WELLNESS CENTER, P.A.

Provider Business Mailing Address
First Line	:	8901 W 75TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-2208
Country	:	US
Telephone Number	:	913-385-5444
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 W 75TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-2208
Country	:	US
Telephone Number	:	913-385-5444
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEFFREY W ROBERTS
Credential	:	D.C.,DIPL.,AC.
Telephone Number	:	913-385-5444

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	09/11/2025

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Directions to “ROBERTS WELLNESS CENTER, P.A. ” Practice Location

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