Active NPI
Robin L Roberts, D.C.
- Chiropractor
- Lincoln Park, MI
National Provider Identifier
1356492995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008741
- Practice address
- 2178 Fort St
Lincoln Park, MI 48146-2405 - Phone
- (313) 388-9693
- Fax
- (313) 383-7295
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2301008741 | MI | Primary |
Addresses
Primary practice location
2178 Fort St
Lincoln Park, MI 48146-2405
Mailing address
1409 Wilson Ave
Lincoln Park, MI 48146-2038
Phone (313) 595-9376
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7323599 | Other | MI | CIGNA PROVIDER # |
| 95 0 H2 1922 0 | Other | MI | BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040429000594 | MI | Practitioner - Chiropractic | 5092702134 | Practice locations: Southgate, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13301 Reeck CT
Southgate, MI 48195-3054
Phone (734) 282-8484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberts Chiropractic Life Center, PLLC | Chiropractor | Past | Accepting new patients |
| Roberts Chiropractic Life Center | Past | Accepting new patients | |
| Beller Chiropractic Life Center, Inc | Chiropractor | Past | Accepting new patients |
| Lawrence a Gralewski | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Southgate, MI
- NPI 1760806954
-
- Chiropractor
- Southgate, MI
- NPI 1598030728
-
- Chiropractor
- Southgate, MI
- NPI 1871777490
-
- Chiropractor
- Lincoln Park, MI
- NPI 1669499356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356492995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 WILSON AVE",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462038",
"telephone_number": "313-595-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2178 FORT ST",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462405",
"telephone_number": "313-388-9693",
"fax_number": "313-383-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ROBIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER #",
"identifier": "7323599",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "95 0 H2 1922 0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, MI
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.