Roberts Chiropractic Life Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROBERTS CHIROPRACTIC LIFE CENTER, PLLC

Practice address

13301 Reeck CT Ste 1a
Southgate, MI 48195-3054

Phone

(734) 282-8484

Fax

(734) 282-7295

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Robin Lee Roberts, D.C.NPI 1356492995

Title

Owner

Phone

(734) 282-8484

Specialties & licenses 8

Addresses

Tax ID family

Roberts Chiropractic Life Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roberts Chiropractic Life Center

  • Clinic/Center
  • Southgate, MI
  • NPI 1760806954
  NPD tax ID

Locations

Practitioners 2

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

• Robin L Roberts, D.C.

  • Chiropractor
  • Lincoln Park, MI
  • NPI 1356492995
  NPD (past) Authorized official
• Cecilia Ingrid Leppen, D.C.

  • Chiropractor
  • Southgate, MI
  • NPI 1376606848
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1598030728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 REECK CT STE 1A",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-282-8484",
            "fax_number": "734-282-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 REECK CT STE 1A",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-282-8484",
            "fax_number": "734-282-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS CHIROPRACTIC LIFE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-282-8484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Nicole Rivera
• Jenna Lee Rivers, MSW, LLMSW
• Robert a Koch D.C.P.C.
• Robert a Schweyen DDS PLLC
• Roberts Chiropractic Life Center
• Frances Roberts
• Matthew George Robertson
• Lekeysha Marie Robinson-Royster, M.D.
• Angelique Yvette Robinson, M.S.
• Arlisa Robinson, LLMSW

• Chiropractor in Southgate, MI
• Providers in Southgate, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.