Organization Active NPI

Robertson Chiropractic Inc

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1467582445
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-25025 Issued in CA
Legal business name
ROBERTSON CHIROPRACTIC INC
Practice address
5649 N Palm Ave
Fresno, CA 93704-1826
Phone
(559) 222-6262
Fax
(559) 222-2262
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dennis M Robertson, D.C.NPI 1275688921
Title
Chiropractor
Phone
(559) 222-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-25025 CA Primary

Addresses

Primary practice location

5649 N Palm Ave
Fresno, CA 93704-1826

Mailing address

5649 N Palm Ave
Fresno, CA 93704-1826
Phone (559) 222-6262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110210000190 CA Part B Supplier - Clinic/Group Practice 5991985806 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

5649 N Palm Ave
Fresno, CA 93704
Phone (559) 222-6202

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1467582445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041826",
            "telephone_number": "559-222-6262",
            "fax_number": "559-222-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041826",
            "telephone_number": "559-222-6262",
            "fax_number": "559-222-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "559-222-6262",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-25025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.