Active NPI
Randall Thomas Roberts, DC
- Chiropractor
- Layton, UT
National Provider Identifier
1033207535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 165944-1202
- Practice address
- 1240 E Highway 193
Suite G8
Layton, UT 84040-8544 - Phone
- (801) 771-2200
- Fax
- (801) 771-2201
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 165944-1202 | UT | Primary |
Addresses
Primary practice location
1240 E Highway 193
Suite G8
Layton, UT 84040-8544
Mailing address
1240 E Highway 193
Suite G8
Layton, UT 84040-8544
Phone (801) 771-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165944-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Well Chiropractic , P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1033207535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 E HIGHWAY 193",
"address_2": "SUITE G8",
"city": "LAYTON",
"state": "UT",
"postal_code": "840408544",
"telephone_number": "801-771-2200",
"fax_number": "801-771-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 E HIGHWAY 193",
"address_2": "SUITE G8",
"city": "LAYTON",
"state": "UT",
"postal_code": "840408544",
"telephone_number": "801-771-2200",
"fax_number": "801-771-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "RANDALL",
"middle_name": "THOMAS",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "165944-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.