Active NPI
James Daley Robart Jr., DC
- Chiropractor
- Potosi, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE#6565
- Practice address
- 912 N Missouri St
Potosi, MO 63664 - Phone
- (573) 438-7200
- Fax
- (573) 438-4507
- NPI assigned
- Nov 21, 2006
- Last updated
- May 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CE#6565 | MO | Primary |
Addresses
Primary practice location
912 N Missouri St
Potosi, MO 63664
Mailing address
912 N Missouri St
Potosi, MO 63664-2101
Phone (573) 438-7200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431836615 | Other | MO | AETNA, MERCY, FIRST HEALT |
| 756252300 | Medicaid | MO | |
| 431836615 | Other | MO | HEALTHLINK AND PHCSNUMBER |
| 110399 | Other | MO | BCBS AND BLUECHOICE |
| 350044981 | Other | MO | RAILROAD MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355
912 N Missouri St
Potosi, MO 63664-2101
Phone (573) 438-7200
PO Box
Suite 761
Potosi, MO 63664-0761
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CE#6565 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Mines Health Center | Current | Accepting new patients | |
| Great Mines Health Center | Current | Accepting new patients | |
| Southtowne Imaging Center LLC | Past | Accepting new patients |
Locations
1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401
Networks
- IL PPO Downstate
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- IA HMO C-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IA HMO
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHFGDD/Endpoint/IHFGDD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Potosi, MO
- NPI 1376536953
-
- Chiropractor
- Potosi, MO
- NPI 1275721284
-
dba Farmington R-VII - Dayse Baker Learning Center
- Federally Qualified Health Center (FQHC)
- Farmington, MO
- NPI 1073188462
-
- Radiology Clinic/Center
- Potosi, MO
- NPI 1104991918
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Potosi, MO
- NPI 1194838821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1003981895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 N MISSOURI ST",
"city": "POTOSI",
"state": "MO",
"postal_code": "636642101",
"telephone_number": "573-438-7200",
"fax_number": "573-438-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 N MISSOURI ST",
"city": "POTOSI",
"state": "MO",
"postal_code": "63664",
"telephone_number": "573-438-7200",
"fax_number": "573-438-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBART JR.",
"first_name": "JAMES",
"middle_name": "DALEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "CE#6565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA, MERCY, FIRST HEALT",
"identifier": "431836615",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "756252300",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK AND PHCSNUMBER",
"identifier": "431836615",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AND BLUECHOICE",
"identifier": "110399",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "350044981",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Potosi, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.