Roberts Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2863 Issued in TN

Legal business name

ROBERTS CHIROPRACTIC LLC

Practice address

1710 Gallatin Pike N
Madison, TN 37115-2122

Phone

(615) 645-9994

Fax

(615) 915-0389

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Edward Andrew Roberts, DCNPI 1720498058

Title

Member

Phone

(615) 645-9994

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Roberts Chiropractic LLC

  • Family Nurse Practitioner
  • Madison, TN
  • NPI 1205490414
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Andrew Roberts, DC

  • Chiropractor
  • Madison, TN
  • NPI 1720498058
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1881144426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152122",
            "telephone_number": "615-645-9994",
            "fax_number": "615-915-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152122",
            "telephone_number": "615-645-9994",
            "fax_number": "615-915-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "615-645-9994",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivergate Operations, LLC
• Rivergate Village Dental
• Kimberly Rivers, NP
• Riverside Family Medicine
• Roberts Chiropractic LLC
• Roberts Integrative Medicine, LLC
• Edward Andrew Roberts, DC
• George Tracy Roberts, MSSW
• Erin Robinette
• Robinson Family Medicine,LLC

• Chiropractor in Madison, TN
• Providers in Madison, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.