Active NPI
Julia Robertson D.C. LLC
- Chiropractor
- Salem, OR
National Provider Identifier
1245720226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5902
- Legal business name
- JULIA ROBERTSON D.C. LLC
- Practice address
- 4666 Commercial St SE
Salem, OR 97302 - Phone
- (503) 399-7607
- NPI assigned
- May 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julia R Robertson, DC
- Title
- Owner
- Phone
- (503) 399-7607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5902 | OR | Primary |
Addresses
Primary practice location
4666 Commercial St SE
Salem, OR 97302
Mailing address
4666 Commercial St SE
Salem, OR 97302-1902
Other names 1
- Robertson Spinal Rehab and Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4666 Commercial St SE
Salem, OR 97302
Phone (203) 399-7607
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Salem, OR
- NPI 1053809947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552262400000",
"number": "1245720226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4666 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973021902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4666 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-399-7607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIA ROBERTSON D.C. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-15",
"last_updated": "2019-03-11",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-399-7607",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "5902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Robertson Spinal Rehab and Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.