Michael K Roberts DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0007051 Issued in FL

Legal business name

MICHAEL K ROBERTS DC PA

Practice address

2001 W Bay Dr
Largo, FL 33770-4920

Phone

(727) 584-5737

Fax

(727) 584-6481

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael K. Roberts, D.C.NPI 1386862332

Title

Clinic Owner

Phone

(727) 584-5737

Specialties & licenses 1

Addresses

Other names 1

• Westbay Chiro Clinic Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Michael K Roberts, DC

  • Chiropractor
  • Largo, FL
  • NPI 1386862332
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1346411295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704920",
            "telephone_number": "727-584-5737",
            "fax_number": "727-584-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704920",
            "telephone_number": "727-584-5737",
            "fax_number": "727-584-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K ROBERTS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "727-584-5737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westbay Chiro Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Largo, FL
• Providers in Largo, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.