DR. ANTHONY DALE ROBERTS (NPI# 1750382990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750382990 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY DALE ROBERTS |
| Credential | D.C. |
| Practice Address |
303 W Main St Havana IL 62644-1139 |
| Practice Telephone | 3095432629 |
| Mailing Telephone | 3095432629 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891178109 | Anthony Bernard Roberts | Counselor | 126 E Evelyn Ave, Monticello, KY 42633-1210 | 2015-07-06 |
| 1760572879 | Anthony Ray Roberts | Contractor | 431 Nw 47th St, Oklahoma City, OK 73118-8211 | 2006-10-13 |
| 1316933625 | Anthony Erwin Roberts | Chiropractor | 4877 Ashworth Rd, Mariposa, CA 95338 | 2005-09-22 |
| 1184269938 | Anthony Roberts | Counselor | 901 Industrial Dr Ste 200, Wildwood, FL 34785-4707 | 2019-11-14 |
| 1275928319 | Anthony Roberts | Behavioral Analyst | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2015-04-06 |
| 1548658008 | Anthony Roberts | Occupational Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2015-01-06 |
| 1730595547 | Anthony Roberts | Pharmacist | 305 Hawthorn Ave, Saint Charles, MO 63301-1402 | 2014-07-01 |
| 1962590844 | Anthony Orville Roberts | Ophthalmology | 9715 Medical Center Dr, Suite 502, Rockville, MD 20850-3320 | 2006-10-10 |
| Street Address |
303 W MAIN ST |
| City | HAVANA |
| State | IL |
| Zip Code | 62644-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982771218 | Mason County Health Department | Clinic/Center | 1002 East Laurel Avenue, Havana, IL 62644 | 2006-11-30 |
| 1346206315 | Havana Hco, LLC | Skilled Nursing Facility | 609 N Harpham St, Havana, IL 62644 | 2006-04-26 |
| 1902849649 | Mason Hospital District | General Acute Care Hospital | 615 N Promenade St, Havana, IL 62644-1015 | 2006-06-13 |
| 1356307433 | Bruce Schultz | Family Medicine | 615 N Promenade St, Havana, IL 62644-1015 | 2006-04-26 |
| 1245296979 | Tad A Yetter | Internal Medicine | 615 N Promenade St, Havana, IL 62644-1015 | 2006-04-21 |
| 1427561489 | Brandi Nicole Behymer | Nurse's Aide | 320 N Plum St, Havana, IL 62644-1127 | 2017-11-13 |
| 1225032071 | R & Q Corporation | Pharmacy | 201 W Main St, Havana, IL 62644-1137 | 2005-06-09 |
| 1639655616 | Home Dialysis Therapies, Inc | Clinic/Center | 216 W Main St, Havana, IL 62644-1138 | 2018-07-12 |
| 1962816868 | John Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2014-06-18 |
| 1831469998 | Bleem Family Chiropractic Inc | Chiropractor | 314 W Main St, Havana, IL 62644-1140 | 2012-01-06 |
| Find all providers in zip 62644 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831469998 | Bleem Family Chiropractic Inc | Chiropractor | 314 W Main St, Havana, IL 62644-1140 | 2012-01-06 |
| 1285613265 | Renold B Bleem | Chiropractor | 314 W Main St, Havana, IL 62644-1140 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
| 1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
| 1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
| 1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.