Individual provider Active NPI

Michael Richard Robles, D.C.

  • Chiropractor
  • Easley, SC
National Provider Identifier
1891080321
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3647 Issued in SC
Practice address
1304 E Main St
Suite a
Easley, SC 29640-4204
Phone
(864) 859-5026
Fax
(864) 859-2819
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3647 SC Primary

Addresses

Primary practice location

1304 E Main St
Suite a
Easley, SC 29640-4204

Mailing address

1304 E Main St
Suite a
Easley, SC 29640-4204
Phone (864) 859-5026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000018 SC Practitioner - Chiropractic 7214103407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Spine and Health Inc.Group PAC ID 7012132319, 2 clinicians

Practice addresses (Care Compare)

500 Poinsett Hwy
Greenville, SC 29609-4427
Phone (864) 232-2292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3647SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Spine & Health Inc. Chiropractor CurrentSince Sep 27, 2022 Accepting new patients
Healthsource Cayce, LLC Chiropractor Past Accepting new patients
Beto Unlimited Chiropractor Past Accepting new patients
Willis Chiro Med of Columbia, Inc. Chiropractor Past Accepting new patients
Isabella LLC Chiropractor PastSince Sep 30, 2022 Accepting new patients

Locations

500 Poinsett Hwy
Greenville, SC 29609
Phone (864) 232-2292

Organizations & group practices 5

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1891080321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 E MAIN ST",
            "address_2": "SUITE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296404204",
            "telephone_number": "864-859-5026",
            "fax_number": "864-859-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 E MAIN ST",
            "address_2": "SUITE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296404204",
            "telephone_number": "864-859-5026",
            "fax_number": "864-859-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.