Individual provider Active NPI

Christa Anne Robben, D.C.

  • Chiropractor
  • Cocoa Beach, FL
National Provider Identifier
1699971218
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9397 Issued in FL
Practice address
3000 N Atlantic Ave
Suite 105
Cocoa Beach, FL 32931-5078
Phone
(321) 868-2225
Fax
(321) 868-2295
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9397 FL Primary

Addresses

Primary practice location

3000 N Atlantic Ave
Suite 105
Cocoa Beach, FL 32931-5078

Mailing address

3000 N Atlantic Ave
Suite 105
Cocoa Beach, FL 32931-5078
Phone (321) 868-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000648 FL Practitioner - Chiropractic 8426188509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 N Atlantic Ave
Suite 105
Cocoa Beach, FL 32931-5060
Phone (321) 868-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9397FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Chiropractic, Inc. Chiropractor CurrentSince Sep 1, 2018 Accepting new patients

Locations

3000 N Atlantic Ave
Ste 105
Cocoa Beach, FL 32931
Phone (321) 868-2225

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1699971218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N ATLANTIC AVE",
            "address_2": "SUITE 105",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315078",
            "telephone_number": "321-868-2225",
            "fax_number": "321-868-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N ATLANTIC AVE",
            "address_2": "SUITE 105",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315078",
            "telephone_number": "321-868-2225",
            "fax_number": "321-868-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBEN",
        "first_name": "CHRISTA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.