Robert E Lavictoire DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1499 Issued in NC

Legal business name

ROBERT E LAVICTOIRE DC PC

Practice address

818 W 5TH Street
Washington, NC 27889

Phone

(252) 946-0148

Fax

(252) 946-0148

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Robert Edward Lavictoire, DCNPI 1861593469

Title

President

Phone

(252) 946-0148

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

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.

• Robert E Lavictoire, CH

  • Chiropractor
  • Washington, NC
  • NPI 1861593469
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1295929669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W 5TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894204",
            "telephone_number": "252-946-0148",
            "fax_number": "252-946-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W 5TH STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "27889",
            "telephone_number": "252-946-0148",
            "fax_number": "252-946-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E LAVICTOIRE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "LAVICTOIRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-946-0148",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND PTAN",
            "identifier": "244499A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908551",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  GROUP PTAN",
            "identifier": "244499B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08551",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shannon S Rogers, THERAPIST
• Emily Roland, PHARMD
• Jodi Rose, PHARMD

• Chiropractor in Washington, NC
• Providers in Washington, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.