Robert Earl Roach Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4620 Issued in KY

Practice address

2137 Dixie Hwy
Louisville, KY 40210-2242

Phone

(502) 775-1511

Fax

(502) 775-8511

NPI assigned

Apr 24, 2007

Last updated

May 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Health Centers of Chesapeake, Inc.

  • Chiropractor
  • Chesapeake, OH
  • NPI 1083744072
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1962620773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402102242",
            "telephone_number": "502-775-1511",
            "fax_number": "502-775-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402102242",
            "telephone_number": "502-775-1511",
            "fax_number": "502-775-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002426A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Roach, M.D.
• Elizabeth Roach
• Kate Burnett Roach, DNP
• Krista Gail Roach, APRN
• Madalin Roach, LPCA
• Michelle Roadhouse
• Nicole Alexis Roan, APRN
• Susette R Roark, APRN
• Michael Adam Robards, LCSW
• Shara Robb, B.A.

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.