Daniel Victor Roberts, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008040 Issued in GA

Practice address

5886 Wendy Bagwell Pkwy
Ste 301
Hiram, GA 30141-7810

Phone

(770) 616-2528

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Chiropractic PCGroup PAC ID 2466558077, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Chiropractic PC

  • Chiropractor
  • Hiram, GA
  • NPI 1386741759
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1598862963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 WENDY BAGWELL PKWY",
            "address_2": "STE301",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "30141",
            "telephone_number": "770-616-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 WENDY BAGWELL PKWY",
            "address_2": "STE 301",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417810",
            "telephone_number": "770-616-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DANIEL",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camelia Gregory Revels
• Roderick Rhyant, MD
• Elizabeth L Riley, LPC
• Parin Pearl Rimtepathip, M.D.
• Crystal Marie Rivers-Harrell, LMT
• Frank J Robinson
• Shanel Benzina Robinson, MS, LPC, NCC, CCMHC
• Christy Dawn Rooker, RN
• Deja Renee Rose, M.D.
• Tamika D Rosser, NP

• Chiropractor in Hiram, GA
• Providers in Hiram, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.