Organization Active NPI

Roberds Chiropractic Clinic PLLC

  • Chiropractor
  • Fayetteville, AR
National Provider Identifier
1649580044
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
977 Issued in AR
Legal business name
ROBERDS CHIROPRACTIC CLINIC PLLC
Practice address
4038 N Remington Dr
Suite 3
Fayetteville, AR 72703-6345
Phone
(479) 582-1444
NPI assigned
Oct 19, 2010
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Marla Roberds
Title
Manager
Phone
(479) 582-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 977 AR Primary

Addresses

Primary practice location

4038 N Remington Dr
Suite 3
Fayetteville, AR 72703-6345

Mailing address

4038 N Remington Dr
Suite 3
Fayetteville, AR 72703-6345

Other names 1

  • Roberds Chiropractic Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

4038 N Remington Dr
Ste 3
Fayetteville, AR 72703
Phone (479) 582-1444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1649580044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 N REMINGTON DR",
            "address_2": "SUITE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 N REMINGTON DR",
            "address_2": "SUITE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036345",
            "telephone_number": "479-582-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERDS CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "ROBERDS",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-582-1444"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberds Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.