Individual provider Active NPI

Robert Xaver Addington, D.C.

  • Chiropractor
  • Amite, LA
National Provider Identifier
1760537401
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1313 Issued in LA
Practice address
802 W Oak St
Suite D
Amite, LA 70422-2795
Phone
(985) 747-2225
NPI assigned
Jan 24, 2007
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1313 LA Primary

Addresses

Primary practice location

802 W Oak St
Suite D
Amite, LA 70422-2795

Mailing address

504 N 2ND St
Amite, LA 70422-2123
Phone (985) 747-2225

Other identifiers 2

IdentifierTypeStateIssuer
G6677OtherLABLUE CROSS BLUE SHIELD LA
P00096405OtherLARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000090 LA Practitioner - Chiropractic 6002708369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

504 N 2ND St
Amite, LA 70422-2123
Phone (985) 747-2225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1313LAMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert X. Addington, D.C., LLC Chiropractor CurrentSince Aug 28, 2003 Accepting new patients

Locations

504 N 2nd St
Amite, LA 70422
Phone (985) 747-2225

802 W Oak St
Ste D
Amite, LA 70422
Phone (985) 284-2099

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1760537401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N 2ND ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222123",
            "telephone_number": "985-747-2225",
            "fax_number": "985-748-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W OAK ST",
            "address_2": "SUITE D",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222795",
            "telephone_number": "985-747-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDINGTON",
        "first_name": "ROBERT",
        "middle_name": "XAVER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LA",
            "identifier": "G6677",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00096405",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.