Individual provider Active NPI

Roechelle Lavette Smith, D.C.

  • Chiropractor
  • Aurora, CO
National Provider Identifier
1073796710
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4716 Issued in CO
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20080108000144 CO Practitioner - Chiropractic 2769562438 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4716COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prolific Chiropractic, P.C. Chiropractor CurrentSince Dec 1, 2000 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.

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.

Verify at the official NPI Registry.