Individual provider Active NPI

Benjamin Michael Robers, DC

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1881135911
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1104 Issued in ND
Practice address
825 28TH St S Ste a
Fargo, ND 58103-2325
Phone
(016) 307-0477
Fax
(701) 630-7058
NPI assigned
Mar 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1104 ND Primary

Addresses

Primary practice location

825 28TH St S Ste a
Fargo, ND 58103-2325

Mailing address

825 28TH St S Ste a
Fargo, ND 58103-2325
Phone (701) 630-7047

Other identifiers 1

IdentifierTypeStateIssuer
1881135911OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227001498 ND Practitioner - Chiropractic 4082999354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
701 Chiropractic and Rehab LLCGroup PAC ID 0648604876, 2 clinicians

Practice addresses (Care Compare)

825 28TH St S
Suite a
Fargo, ND 58103-2325
Phone (701) 356-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1104NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearson Chiropractic PLLC CurrentSince Aug 9, 2025 Accepting new patients
701 Chiropractic & Rehab, LLC Chiropractor CurrentSince Oct 14, 2019 Accepting new patients

Locations

825 28th St S
Ste A
Fargo, ND 58103
Phone (701) 232-1245

837 Main Ave E
Ste C
West Fargo, ND 58078
Phone (701) 630-7047

27203 216th Ave SE
Ste 1
Maple Valley, WA 98038
Phone (253) 638-2424

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.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1881135911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 28TH ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032325",
            "telephone_number": "701-630-7047",
            "fax_number": "701-630-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 28TH ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032325",
            "telephone_number": "016-307-0477",
            "fax_number": "701-630-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERS",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881135911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.