Active NPI
Roberts Chiropractic,PLLC
- Chiropractor
- Sierra Vista, AZ
National Provider Identifier
1457416182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5348
- Legal business name
- ROBERTS CHIROPRACTIC,PLLC
- Doing business as
- Roger W. Roberts, D.C.
- Practice address
- 1819 Paseo San Luis
Sierra Vista, AZ 85635-4613 - Phone
- (520) 452-1490
- Fax
- (520) 452-9797
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erica Larimer
- Title
- Office Manager
- Phone
- (520) 452-1490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5348 | AZ | Primary |
Addresses
Primary practice location
1819 Paseo San Luis
Sierra Vista, AZ 85635-4613
Mailing address
1819 Paseo San Luis
Sierra Vista, AZ 85635-4613
Phone (520) 452-1490
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5258158 | Other | AZ | CCN |
| 612607200 | Other | AZ | OWCP |
| DF9565 | Other | AZ | RAILROAD MEDICARE |
| AZ0240640 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 1937602856 | Other | AZ | FIRST HEALTH |
| 23025348 | Other | AZ | WC STATE FUND |
Other names 1
- Roger W. Roberts, D.C.
National Provider Directory
National Provider DirectoryLocations
2161 E Fry Blvd
Sierra Vista, AZ 85635
Phone (520) 452-1490
1819 Paseo San Luis
Sierra Vista, AZ 85635
Phone (520) 452-1490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493683200000",
"number": "1457416182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 PASEO SAN LUIS",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856354613",
"telephone_number": "520-452-1490",
"fax_number": "520-452-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 PASEO SAN LUIS",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856354613",
"telephone_number": "520-452-1490",
"fax_number": "520-452-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTS CHIROPRACTIC,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2017-05-02",
"status": "A",
"authorized_official_last_name": "LARIMER",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "520-452-1490",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "5348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5258158",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "612607200",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF9565",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0240640",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1937602856",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WC STATE FUND",
"identifier": "23025348",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Roger W. Roberts, D.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.