Individual provider Active NPI

Daniel King Robb, DC

  • Chiropractor
  • Monona, WI
National Provider Identifier
1508929977
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1853 Issued in WI
Practice address
100 River PL
Suite 210
Monona, WI 53716-4041
Phone
(608) 222-7731
Fax
(608) 222-7753
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1853 WI Primary

Addresses

Primary practice location

100 River PL
Suite 210
Monona, WI 53716-4041

Mailing address

100 River PL
Suite 210
Monona, WI 53716-4041
Phone (608) 222-7731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000685 WI Practitioner - Chiropractic 7113085853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1853WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Chiropractic, LLC Chiropractor PastSince Jul 31, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1508929977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER PL",
            "address_2": "SUITE 210",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164041",
            "telephone_number": "608-222-7731",
            "fax_number": "608-222-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER PL",
            "address_2": "SUITE 210",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164041",
            "telephone_number": "608-222-7731",
            "fax_number": "608-222-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "DANIEL",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.