Organization Active NPI

Robinson Chiropractic, P.a

Doing business as Brent JC Robinson, D.C.

  • Chiropractor
  • Roseville, MN
National Provider Identifier
1932258399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4085 Issued in MN
Legal business name
ROBINSON CHIROPRACTIC, P.A
Doing business as
Brent JC Robinson, D.C.
Practice address
1752 Lexington Ave N
Suite B
Roseville, MN 55113-6516
Phone
(651) 487-5950
Fax
(651) 487-6016
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brent James Charles Robinson, D.C.NPI 1992803548
Title
Ceo
Phone
(651) 487-5950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4085 MN Primary

Addresses

Primary practice location

1752 Lexington Ave N
Suite B
Roseville, MN 55113-6516

Mailing address

1752 Lexington Ave N
Suite B
Roseville, MN 55113-6516
Phone (651) 487-5950

Other names 1

  • Brent JC Robinson, D.C. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070418000182 MN Part B Supplier - Clinic/Group Practice 4587769641 Receives reassigned benefits from 1 practitioner
Practice locations: Roseville, MN

National Provider Directory

National Provider Directory

Locations

1752 Lexington Ave N
Ste B
Roseville, MN 55113
Phone (651) 487-5950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932258399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 LEXINGTON AVE N",
            "address_2": "SUITE B",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136516",
            "telephone_number": "651-487-5950",
            "fax_number": "651-487-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 LEXINGTON AVE N",
            "address_2": "SUITE B",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136516",
            "telephone_number": "651-487-5950",
            "fax_number": "651-487-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON CHIROPRACTIC, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JAMES CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-487-5950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent JC Robinson, D.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.