Active NPI
Aaron Clay Roby
- Chiropractor
- Swansea, IL
National Provider Identifier
1811205602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011690
- Practice address
- 4460 N Illinois St
Swansea, IL 62226-1899 - Phone
- (618) 926-2529
- NPI assigned
- Sep 15, 2010
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011690 | IL | Primary |
Addresses
Primary practice location
4460 N Illinois St
Swansea, IL 62226-1899
Mailing address
3225 Eldorado Blacktop Rd
Ridgway, IL 62979-2122
Phone (618) 926-2529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
633 Wesley Dr
Wood River, IL 62095-1970
Phone (618) 254-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011690 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood River Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Faccin Chiropractic, PC | Chiropractor | Past | Accepting new patients |
Locations
633 Wesley Dr
Wood River, IL 62095
Phone (618) 254-9355
203 S 6th St
Wood River, IL 62095
Phone (618) 254-9355
Organizations & group practices 2
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.
-
- Chiropractor
- Wood River, IL
- NPI 1659819530
-
- Chiropractor
- East Alton, IL
- NPI 1043368434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1811205602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 ELDORADO BLACKTOP RD",
"city": "RIDGWAY",
"state": "IL",
"postal_code": "629792122",
"telephone_number": "618-926-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 N ILLINOIS ST",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622261899",
"telephone_number": "618-926-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBY",
"first_name": "AARON",
"middle_name": "CLAY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.