Active NPI
Roechelle Lavette Smith, D.C.
- Chiropractor
- Aurora, CO
National Provider Identifier
1073796710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4716
- Practice address
- 2101 S Blackhawk St
Suite 140
Aurora, CO 80014-1492 - Phone
- (303) 337-1321
- Fax
- (303) 337-2305
- NPI assigned
- Dec 17, 2007
- Last updated
- Dec 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4716 | CO | Primary |
Addresses
Primary practice location
2101 S Blackhawk St
Suite 140
Aurora, CO 80014-1492
Mailing address
2101 S Blackhawk St
Suite 140
Aurora, CO 80014-1492
Phone (303) 337-1321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2101 S Blackhawk St
Aurora, CO 80014-1475
Phone (303) 337-1321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4716 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prolific Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
2101 S Blackhawk St
Ste 140
Aurora, CO 80014
Phone (303) 337-1321
Organizations & group practices 1
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.
-
- Chiropractor
- Aurora, CO
- NPI 1225067929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1073796710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 S BLACKHAWK ST",
"address_2": "SUITE 140",
"city": "AURORA",
"state": "CO",
"postal_code": "800141492",
"telephone_number": "303-337-1321",
"fax_number": "303-337-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 S BLACKHAWK ST",
"address_2": "SUITE 140",
"city": "AURORA",
"state": "CO",
"postal_code": "800141492",
"telephone_number": "303-337-1321",
"fax_number": "303-337-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROECHELLE",
"middle_name": "LAVETTE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-17",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.