Jon Douglas Roberts, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1942 Issued in AL

Practice address

239A Church St
Alexander City, AL 35010-2515

Phone

(256) 234-4404

Fax

(256) 234-4421

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wound Solutions LLC

  • General Practice Physician
  • Alexander City, AL
  • NPI 1912715772
  NPD Authorized official
• Dumars Family Chiropractic PLLC

  • Chiropractor
  • Claremont, NH
  • NPI 1578137402
  NPD (past)
• Walsemann Chiropractic Life Center, P.a.

  • Chiropractor
  • Claremont, NH
  • NPI 1508877978
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043362510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239A CHURCH ST",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350102515",
            "telephone_number": "256-234-4404",
            "fax_number": "256-234-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239A CHURCH ST",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350102515",
            "telephone_number": "256-234-4404",
            "fax_number": "256-234-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-28044",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology & Imaging Specialists, P.C.
• Sean Luc Rape
• Andrea Rashad, PMHNP-BC
• Relatyv Mobile Medical LLC
• Dylan Riley
• Nadiah Monet Clara Robertson
• Kathie Irene Roper-Ericson, PH.D
• Sherry C Royster, NP
• Chante Mitchell Ruffin, MD
• Rural Urgent Care LLC

• Chiropractor in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.