Organization Active NPI

Roberts Chiropractic,PLLC

  • Chiropractor
  • Sierra Vista, AZ
National Provider Identifier
1457416182
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5348 Issued in AZ
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

Updated by the provider on May 2, 2017

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5258158OtherAZCCN
612607200OtherAZOWCP
DF9565OtherAZRAILROAD MEDICARE
AZ0240640OtherAZBLUE CROSS BLUE SHIELD
1937602856OtherAZFIRST HEALTH
23025348OtherAZWC STATE FUND

Other names 1

  • Roger W. Roberts, D.C. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.