NPIMap

Organization Active NPI

Roberts Chiropractic Life Center

  • Clinic/Center
  • Southgate, MI
National Provider Identifier
1760806954
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2301008741 Issued in MI
Legal business name
ROBERTS CHIROPRACTIC LIFE CENTER
Practice address
13301 Reeck CT
Southgate, MI 48195-3054
Phone
(734) 282-8484
NPI assigned
Feb 10, 2014
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Dr. Robin Roberts, D.C.NPI 1356492995
Title
Owner
Phone
(734) 282-8484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2301008741 MI Primary

Addresses

Primary practice location

13301 Reeck CT
Southgate, MI 48195-3054

Mailing address

13301 Reeck CT
Southgate, MI 48195-3054
Phone (734) 282-8484

National Provider Directory

National Provider Directory
Tax ID family
Roberts Chiropractic Life Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13301 Reeck Ct
Southgate, MI 48195
Phone (734) 282-8484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1760806954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 REECK CT",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-282-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 REECK CT",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-282-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-282-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301008741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.