Timothy Edward McRoberts, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03755-012 Issued in WI

Practice address

951 Kimball Lane
Suite 122
Verona, WI 53593-9122

Phone

(608) 848-0058

Fax

(608) 848-0059

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Schreiner Family Chiropractic LLC

  • Chiropractor
  • Verona, WI
  • NPI 1316481443
  NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1437116993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 RANGE TRL",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939359",
            "telephone_number": "608-848-0723",
            "fax_number": "608-848-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 KIMBALL LANE",
            "address_2": "SUITE 122",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939122",
            "telephone_number": "608-848-0058",
            "fax_number": "608-848-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCROBERTS",
        "first_name": "TIMOTHY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "03755-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38934100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Elizabeth McCosky
• Taylor McIntyre, RBT
• Natalie Anne McLain
• Meghan Marie McMillan, DPT
• McRoberts Chiropractic, LLC
• MD Group II LLC
• MD Group II LLC
• June Mello, D.D.S.
• Robert P Menamin, R.N.
• Alexander Mendenhall

• Chiropractor in Verona, WI
• Providers in Verona, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.