Raymond A Roberts, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4212 Issued in KY

Practice address

108 Lebanon Ave
Campbellsville, KY 42718-1839

Phone

(270) 789-0060

Fax

(270) 465-0307

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drrayroberts@rayrobertsdc.myhcdirect.com

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.

• Raymond a. Roberts, D.C., PSC

  • Chiropractor
  • Campbellsville, KY
  • NPI 1700042116
  NPD Authorized official

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1518930742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LEBANON AVE",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181839",
            "telephone_number": "270-789-0060",
            "fax_number": "270-465-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LEBANON AVE",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181839",
            "telephone_number": "270-789-0060",
            "fax_number": "270-465-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4212",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "KY",
            "license": "4212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000073",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Kevin Richerson, D.C.
• Leann Riley
• James R Rinne, M.D.
• Mark A Risen, DPM
• River Hill Case Management, Inc.
• Jalena Louise Robertson Adams, LCSW
• Jesse Robinson, APRN
• Kimberly D Rodgers
• Haley Grace Rogers, RBT
• Thomas L Rogers, MD

• Chiropractor in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.