Individual provider Active NPI

Elizabeth Lee Roberts, DC

  • Chiropractor
  • Hamilton, MT
National Provider Identifier
1669151213
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8168 Issued in MT
Practice address
803 N 2ND St
Hamilton, MT 59840-2111
Phone
(406) 363-2111
Fax
(406) 363-0836
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8168 MT Primary

Addresses

Primary practice location

803 N 2ND St
Hamilton, MT 59840-2111

Mailing address

803 N 2ND St
Hamilton, MT 59840-2111
Phone (406) 363-2111

Other practice location 1

1519 S Reserve St
Missoula, MT 59801-4755
Phone (406) 549-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803003334 MT Practitioner - Chiropractic 0547621716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matz Family Chiropractic PCGroup PAC ID 3274663182, 11 clinicians
Roberts Family Chiropractic Center, Inc.Group PAC ID 1052576170, 2 clinicians

Practice addresses (Care Compare)

1519 S Reserve St
Missoula, MT 59801-4755
Phone (406) 549-2006

803 N 2ND St
Hamilton, MT 59840-2111
Phone (406) 363-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8168MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts Family Chiropractic Center Inc. Chiropractor CurrentSince Jul 20, 2023 Accepting new patients
Matz Family Chiropractic, P.C. Chiropractor CurrentSince Jan 16, 2024 Accepting new patients

Locations

803 N 2nd St
Hamilton, MT 59840
Phone (406) 363-2111

1519 S Reserve St
Missoula, MT 59801
Phone (406) 549-2006

Organizations & group practices 2

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1669151213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N 2ND ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402111",
            "telephone_number": "406-363-2111",
            "fax_number": "406-363-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N 2ND ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402111",
            "telephone_number": "406-363-2111",
            "fax_number": "406-363-0836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1519 S Reserve St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598014755",
            "country_code": "US",
            "telephone_number": "406-549-2006",
            "fax_number": "406-549-6574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ELIZABETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "8168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.