Active NPI
Deborah Lynn Roebuck, DC
- Chiropractor
- VA Beach, VA
National Provider Identifier
1255455820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001454
- Practice address
- 205 Town Center Drive
Suite 220
VA Beach, VA 23462 - Phone
- (757) 490-3464
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 001454 | VA | Primary |
Addresses
Primary practice location
205 Town Center Drive
Suite 220
VA Beach, VA 23462
Mailing address
1820 Legare Lane
VA Beach, VA 23464
Phone (787) 490-3464
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001454 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255455820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 LEGARE LANE",
"city": "VA BEACH",
"state": "VA",
"postal_code": "23464",
"telephone_number": "787-490-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 TOWN CENTER DRIVE",
"address_2": "SUITE 220",
"city": "VA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-490-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEBUCK",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "001454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in VA Beach, VA
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.