Active NPI
Jason Louis Robidoux, D.C.
- Chiropractor
- Greeley, CO
National Provider Identifier
1619022597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5485
- Practice address
- 2711 W 10TH St
Greeley, CO 80634-5422 - Phone
- (970) 356-0525
- Fax
- (970) 304-1656
- NPI assigned
- Jan 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5485 | CO | Primary |
Addresses
Primary practice location
2711 W 10TH St
Greeley, CO 80634-5422
Mailing address
2711 W 10TH St
Greeley, CO 80634-5422
Phone (970) 356-0525
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1371 | NE | MD | Professional Counselor |
| 5485 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results Chiropractic | Past | Accepting new patients | |
| Auto Accident Associates | Past | Accepting new patients | |
| Scott Chiropractic Clinic PC | Chiropractor | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619022597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 W 10TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345422",
"telephone_number": "970-356-0525",
"fax_number": "970-304-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 W 10TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345422",
"telephone_number": "970-356-0525",
"fax_number": "970-304-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBIDOUX",
"first_name": "JASON",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.