Organization Active NPI

Robert Robideau DC, PC

  • Neurology Chiropractor
  • Roswell, GA
National Provider Identifier
1922272871
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
2470 Issued in GA
Legal business name
ROBERT ROBIDEAU DC, PC
Practice address
555 Sun Valley Dr Ste D4
Roswell, GA 30076-5622
Phone
(678) 795-0007
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Robert George Robideau, DC, DACNB
Title
President
Phone
(678) 795-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 2470 GA Primary

Addresses

Primary practice location

555 Sun Valley Dr Ste D4
Roswell, GA 30076-5622

Mailing address

555 Sun Valley Dr Ste D4
Roswell, GA 30076-5622
Phone (678) 795-0007

Other identifiers 1

IdentifierTypeStateIssuer
1215112800OtherGANPI FOR DR. ROBERT ROBIDEAU

National Provider Directory

National Provider Directory

Locations

555 Sun Valley Dr
Ste D4
Roswell, GA 30076
Phone (678) 795-0007

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1922272871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE D4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765622",
            "telephone_number": "678-795-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE D4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765622",
            "telephone_number": "678-795-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ROBIDEAU DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "ROBIDEAU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-795-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DACNB"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "2470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR. ROBERT ROBIDEAU",
            "identifier": "1215112800",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.