Individual provider Active NPI

Roberto Anibal Vargas, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1760534887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007618 Issued in GA
Practice address
1375 Peachtree St NE
Suite A9
Atlanta, GA 30309-3173
Phone
(404) 575-1300
Fax
(404) 575-1301
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 CHIR007618 GA Primary

Addresses

Primary practice location

1375 Peachtree St NE
Suite A9
Atlanta, GA 30309-3173

Mailing address

560 Stratford GRN
Avondale Estates, GA 30002-1354
Phone (404) 228-8234

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
CHIR007618GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Centers of Atlanta Past Accepting new patients
Dr Roberto a Vargas Inc Chiropractor Past Accepting new patients
Atlanta Spine Center PC Chiropractor Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760534887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 STRATFORD GRN",
            "city": "AVONDALE ESTATES",
            "state": "GA",
            "postal_code": "300021354",
            "telephone_number": "404-228-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 PEACHTREE ST NE",
            "address_2": "SUITE A9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093173",
            "telephone_number": "404-575-1300",
            "fax_number": "404-575-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "ROBERTO",
        "middle_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

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.

Verify at the official NPI Registry.