Advanced Chiropractic & Sports Therapy, Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH30034 Issued in DC

Legal business name

ADVANCED CHIROPRACTIC & SPORTS THERAPY, INC

Practice address

1001 Connecticut Ave NW
Suite 228
Washington, DC 20036-5504

Phone

(202) 293-8400

NPI assigned

Oct 31, 2011

Last updated

Oct 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Oliver Cecil Roberson, DCNPI 1962585554

Title

Owner

Phone

(202) 293-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oliver Cecil Roberson, D.C.

  • Chiropractor
  • Washington, DC
  • NPI 1962585554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1184900508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONNECTICUT AVE NW",
            "address_2": "SUITE 228",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365504",
            "telephone_number": "202-293-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CONNECTICUT AVE NW",
            "address_2": "SUITE 228",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365504",
            "telephone_number": "202-293-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC & SPORTS THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-293-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "DC",
            "license": "CH30034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Washington, DC
• Providers in Washington, DC by specialty
• Sports Physician Chiropractor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.