Individual provider Active NPI

Michael James Robb, D.C.

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1699725820
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7152 Issued in AZ
Practice address
7615 W Thunderbird Rd
Suite 103
Peoria, AZ 85381-6083
Phone
(623) 889-0387
Fax
(623) 889-7411
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7152 AZ Primary

Addresses

Primary practice location

7615 W Thunderbird Rd
Suite 103
Peoria, AZ 85381-6083

Mailing address

7615 W Thunderbird Rd
Suite 103
Peoria, AZ 85381-6083
Phone (623) 889-0387

Other identifiers 1

IdentifierTypeStateIssuer
101144OtherAZGROUP

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
7152AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Care Wellness, Inc Chiropractor PastSince Aug 3, 2003 Accepting new patients

Organizations & group practices 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1699725820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 W THUNDERBIRD RD",
            "address_2": "SUITE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816083",
            "telephone_number": "623-889-0387",
            "fax_number": "623-889-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 W THUNDERBIRD RD",
            "address_2": "SUITE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816083",
            "telephone_number": "623-889-0387",
            "fax_number": "623-889-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "101144",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.