Organization Active NPI

Kevin a Roberts Inc

  • Chiropractor
  • Ogden, UT
National Provider Identifier
1497939276
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
162481-1202 Issued in UT
Legal business name
KEVIN A ROBERTS INC
Practice address
924 24TH St
Suite 2
Ogden, UT 84401-2641
Phone
(801) 621-1740
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Kevin Roberts, D.C.
Title
Owner
Phone
(801) 621-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 162481-1202 UT Primary

Addresses

Primary practice location

924 24TH St
Suite 2
Ogden, UT 84401-2641

Mailing address

924 24TH St
Suite 2
Ogden, UT 84401-2641

Other identifiers 1

IdentifierTypeStateIssuer
870395551005MedicaidUT

National Provider Directory

National Provider Directory

Locations

917 Country Hills Dr
Ste 4
South Ogden, UT 84403
Phone (801) 621-1668

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1497939276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 24TH ST",
            "address_2": "SUITE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 24TH ST",
            "address_2": "SUITE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012641",
            "telephone_number": "801-621-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN A ROBERTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-621-1740",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "162481-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.