Organization Active NPI

Robertson Chiropractic Center

  • Chiropractor
  • Charleston, WV
National Provider Identifier
1023228491
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
699 Issued in WV
Legal business name
ROBERTSON CHIROPRACTIC CENTER
Practice address
712 Lee St E
Charleston, WV 25301-1707
Phone
(304) 342-1442
Fax
(304) 342-1442
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles D Robertson II, DO
Title
Chiropractor
Phone
(304) 342-1442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 699 WV Primary

Addresses

Primary practice location

712 Lee St E
Charleston, WV 25301-1707

Mailing address

712 Lee St E
Charleston, WV 25301-1707
Phone (304) 342-1442

National Provider Directory

National Provider Directory

Locations

712 Lee St E
Charleston, WV 25301
Phone (304) 342-1442

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023228491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 LEE ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011707",
            "telephone_number": "304-342-1442",
            "fax_number": "304-342-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LEE ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011707",
            "telephone_number": "304-342-1442",
            "fax_number": "304-342-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "304-342-1442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.