Individual provider Active NPI

Steven Thomas Robillard, D.C.

  • Chiropractor
  • Flower Mound, TX
National Provider Identifier
1215955562
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9242 Issued in TX
Practice address
1900 Long Prairie Rd
Suite 130
Flower Mound, TX 75022-4294
Phone
(972) 539-6564
Fax
(972) 539-9666
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9242 TX Primary

Addresses

Primary practice location

1900 Long Prairie Rd
Suite 130
Flower Mound, TX 75022-4294

Mailing address

1900 Long Prairie Rd
Suite 130
Flower Mound, TX 75022-4217
Phone (972) 539-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140124001012 TX Practitioner - Chiropractic 5698903441 Practice locations: Flower Mound, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1900 Long Prairie Rd
Flower Mound, TX 75022-4294
Phone (972) 539-6564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9242TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest Chiropractic Past Accepting new patients
Healthy Innovations Chiropractic LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1215955562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LONG PRAIRIE RD",
            "address_2": "SUITE 130",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224217",
            "telephone_number": "972-539-6564",
            "fax_number": "972-539-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LONG PRAIRIE RD",
            "address_2": "SUITE 130",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224294",
            "telephone_number": "972-539-6564",
            "fax_number": "972-539-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBILLARD",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.