Individual provider Active NPI

Andrew Ensign Roberts, M.S., D.C.

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1912215302
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8346 Issued in AZ
Practice address
12220 E Riggs Rd
Suit 101
Chandler, AZ 85249-3738
Phone
(480) 883-2266
Fax
(480) 883-2289
NPI assigned
Sep 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1412 ID
Chiropractor 111N00000X 8346 AZ Primary
Chiropractor 111N00000X 738 WY

Addresses

Primary practice location

12220 E Riggs Rd
Suit 101
Chandler, AZ 85249-3738

Mailing address

18494 E Cattle Dr
Queen Creek, AZ 85142-5177
Phone (208) 220-5868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
738WYMDPsychologist
8346AZMDChiropractor
CHIA-1412IDMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1912215302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18494 E CATTLE DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425177",
            "telephone_number": "208-220-5868",
            "fax_number": "480-883-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 E RIGGS RD",
            "address_2": "SUIT 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493738",
            "telephone_number": "480-883-2266",
            "fax_number": "480-883-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANDREW",
        "middle_name": "ENSIGN",
        "name_prefix": "Dr.",
        "credential": "M.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1412",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8346",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.