Active NPI
Kevin a Roberts Inc
- Chiropractor
- Ogden, UT
National Provider Identifier
1497939276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 162481-1202
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870395551005 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
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.