Active NPI
Angella L Roberts, D.C.
- Chiropractor
- Rumford, ME
National Provider Identifier
1063588499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1386
- Practice address
- 43 Exchange St
Rumford, ME 04276-2037 - Phone
- (207) 369-9138
- Fax
- (207) 369-9273
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | CR1386 | ME | Primary |
Addresses
Primary practice location
43 Exchange St
Rumford, ME 04276-2037
Mailing address
43 Exchange St
P.O. Box 735
Rumford, ME 04276-2037
Phone (207) 369-9138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060952 | Other | ME | BLUE CROSS BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063588499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 EXCHANGE ST",
"address_2": "P.O. BOX 735",
"city": "RUMFORD",
"state": "ME",
"postal_code": "042762037",
"telephone_number": "207-369-9138",
"fax_number": "207-369-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 EXCHANGE ST",
"city": "RUMFORD",
"state": "ME",
"postal_code": "042762037",
"telephone_number": "207-369-9138",
"fax_number": "207-369-9273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ANGELLA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "060952",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rumford, ME
- Pinnacle Group of Hudson Valley V LLC (Pinnacle Health & Rehab at Rumford)
- Carrie Ponte, NP
- Anthony John Rea, R.PH., MA
- Rite Aid of Maine Inc (Rite Aid Pharmacy 04126)
- River Valley Counseling LLC
- Bobbijean Rose, CADC
- Bruce Alan Ross, DMD
- Rumford Community Family Health Center Inc. (River Valley Internal Medicine)
- Rumford Community Family Health Center, Inc. (Swift River Family Medicine)
- Rumford Community Home Corporation
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.