Individual provider Active NPI

Oliver Cecil Roberson, D.C.

  • Chiropractor
  • Washington, DC
National Provider Identifier
1962585554
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH30034 Issued in DC
Practice address
1001 Connecticut Ave NW
Suite 228
Washington, DC 20036-5504
Phone
(202) 293-8400
Fax
(202) 293-8009
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH30034 DC Primary

Addresses

Primary practice location

1001 Connecticut Ave NW
Suite 228
Washington, DC 20036-5504

Mailing address

1001 Connecticut Ave NW
Suite 228
Washington, DC 20036-5504
Phone (202) 293-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140919000024 DC Practitioner - Chiropractic 5991924201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1634 I St NW
Suite 210
Washington, DC 20006-4020
Phone (202) 293-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic & Sports Therapy, Inc CurrentSince Jul 8, 2014 Accepting new patients
Janecek Chiropractic Clinic Chiropractor Current Accepting new patients

Locations

1634 I St NW
Ste 210
Washington, DC 20006
Phone (202) 293-8400

1634 I St NW
Washington, DC 20006
Phone (202) 463-0987

1001 Connecticut Ave NW
Ste 228
Washington, DC 20036
Phone (202) 293-8400

Organizations & group practices 2

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962585554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONNECTICUT AVE NW",
            "address_2": "SUITE 228",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365504",
            "telephone_number": "202-293-8400",
            "fax_number": "202-293-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CONNECTICUT AVE NW",
            "address_2": "SUITE 228",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365504",
            "telephone_number": "202-293-8400",
            "fax_number": "202-293-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "OLIVER",
        "middle_name": "CECIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "CH30034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.