Individual provider Active NPI

Karl M Roberts, D.C.

  • Chiropractor
  • Denville, NJ
National Provider Identifier
1447327549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00545300 Issued in NJ
Practice address
75 Bloomfield Ave
Suite 201
Denville, NJ 07834-2735
Phone
(973) 983-1300
Fax
(973) 983-1022
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00545300 NJ Primary

Addresses

Primary practice location

75 Bloomfield Ave
Suite 201
Denville, NJ 07834-2735

Mailing address

7 Foxwood Dr Apt B
Morris Plains, NJ 07950-2627
Phone (973) 865-3935

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000561 NJ Practitioner - Chiropractic 6002832003 Practice locations: Denville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Lincoln Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 Bloomfield Ave
Suite 201
Denville, NJ 07834-2759
Phone (973) 983-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00545300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts Family Chiropractic Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447327549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FOXWOOD DR APT B",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502627",
            "telephone_number": "973-865-3935",
            "fax_number": "973-983-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BLOOMFIELD AVE",
            "address_2": "SUITE 201",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342735",
            "telephone_number": "973-983-1300",
            "fax_number": "973-983-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KARL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00545300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

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.

Verify at the official NPI Registry.