Individual provider Active NPI

Suzanne Roberts

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1598849002
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28846 Issued in CA
Practice address
2690 E Bidwell St
Suite 400
Folsom, CA 95630-6430
Phone
(916) 983-7771
Fax
(916) 983-7996
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28846 CA Primary

Addresses

Primary practice location

2690 E Bidwell St
Suite 400
Folsom, CA 95630-6430

Mailing address

2690 E Bidwell St
Suite 400
Folsom, CA 95630-6430
Phone (916) 983-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8846CAMDAddiction (Substance Use Disorder) Counselor
DC28846CAMDChiropractor
28846CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Health Chiropractic Et Al Scott Beavers Gen PTR Chiropractor PastSince Feb 1, 2011 Accepting new patients
Broadstone Chiropractic Inc Past Accepting new patients
Broadstone Chiropractic Collins, Inc. Chiropractor PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1598849002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 E BIDWELL ST",
            "address_2": "SUITE 400",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306430",
            "telephone_number": "916-983-7771",
            "fax_number": "916-983-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 E BIDWELL ST",
            "address_2": "SUITE 400",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306430",
            "telephone_number": "916-983-7771",
            "fax_number": "916-983-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.