Organization Active NPI

Robart Rehabilitation and Wellness Center Inc

  • Chiropractor
  • Potosi, MO
National Provider Identifier
1275721284
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006565 Issued in MO
Legal business name
ROBART REHABILITATION AND WELLNESS CENTER INC
Practice address
912 N Missouri St
Potosi, MO 63664-2101
Phone
(573) 438-7200
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Dr. James Daley Robart, D.C.
Title
Chiropractor
Phone
(573) 438-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006565 MO Primary

Addresses

Primary practice location

912 N Missouri St
Potosi, MO 63664-2101

Mailing address

912 N Missouri St
Potosi, MO 63664-2101
Phone (573) 438-7200

Other identifiers 1

IdentifierTypeStateIssuer
756252300MedicaidMO

Other names 1

  • Robart Chiropractic Care Center Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110000811 MO Part B Supplier - Clinic/Group Practice 1951359678 Receives reassigned benefits from 1 practitioner
Practice locations: Potosi, MO

National Provider Directory

National Provider Directory

Locations

912 N Missouri St
Potosi, MO 63664
Phone (573) 438-7200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1275721284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 N MISSOURI ST",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636642101",
            "telephone_number": "573-438-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N MISSOURI ST",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636642101",
            "telephone_number": "573-438-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBART REHABILITATION AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "ROBART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DALEY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "573-438-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "756252300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robart Chiropractic Care Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Potosi, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.