Active NPI
James Roy, D.C.
- Sports Physician Chiropractor
- Saint Robert, MO
National Provider Identifier
1780780700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 006439
- Practice address
- 1106 Old Route 66
Suite 2D
Saint Robert, MO 65584-4601 - Phone
- (573) 336-2230
- Fax
- (573) 336-4285
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 006439 | MO | Primary |
Addresses
Primary practice location
1106 Old Route 66
Suite 2D
Saint Robert, MO 65584-4601
Mailing address
PO Box 797
Saint Robert, MO 65584-0797
Phone (573) 336-2230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-03900 | Other | MO | UNITED HEALTHCARE |
| 112851 | Other | MO | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1106 Old Route 66
Suite 2D
Saint Robert, MO 65584-4835
Phone (573) 336-2230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Robert Chiropractic Center, Inc | Current | Accepting new patients |
Locations
1106 Old Route 66
Ste 2D
Saint Robert, MO 65584
Phone (573) 336-2230
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.
-
- Clinic/Center
- Saint Robert, MO
- NPI 1780915637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780780700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 797",
"city": "SAINT ROBERT",
"state": "MO",
"postal_code": "655840797",
"telephone_number": "573-336-2230",
"fax_number": "573-336-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 OLD ROUTE 66",
"address_2": "SUITE 2D",
"city": "SAINT ROBERT",
"state": "MO",
"postal_code": "655844601",
"telephone_number": "573-336-2230",
"fax_number": "573-336-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MO",
"license": "006439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "44-03900",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "112851",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Robert, MO
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.
- 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.