Organization Active NPI

Roots Chiropractic LLC

Doing business as Roots Chiropractic

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1053831065
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROOTS CHIROPRACTIC LLC
Doing business as
Roots Chiropractic
Practice address
302 Castle Shannon Blvd
Pittsburgh, PA 15234
Phone
(586) 703-7501
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Dr. Thomas Centofanti, DCNPI 1447780275
Title
Co-Owner
Phone
(412) 502-2297

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

302 Castle Shannon Blvd
Pittsburgh, PA 15234

Mailing address

302 Castle Shannon Blvd
Pittsburgh, PA 15234-1404
Phone (412) 502-2297

Other names 1

  • Roots Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170807001344 PA Part B Supplier - Clinic/Group Practice 0840561031 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1053831065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CASTLE SHANNON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341404",
            "telephone_number": "412-502-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CASTLE SHANNON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15234",
            "telephone_number": "586-703-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "CENTOFANTI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "412-502-2297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.