Organization Active NPI

Roots Chiropractic LLC

Doing business as Roots Chiropractic

  • Chiropractor
  • Derby, KS
National Provider Identifier
1083258826
Registry record updated Aug 7, 2020
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
1033 N Rock Rd Ste 200
Derby, KS 67037-3662
Phone
(316) 364-3128
Fax
(316) 364-3166
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Dr. Dakota Cole Hegi, DC
Title
Owner/Chiropractor
Phone
(316) 364-3128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1033 N Rock Rd Ste 200
Derby, KS 67037-3662

Mailing address

1033 N Rock Rd Ste 200
Derby, KS 67037-3662
Phone (316) 364-3128

Other names 1

  • Roots Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1033 N Rock Rd
Ste 200
Derby, KS 67037
Phone (316) 364-3128

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1083258826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N ROCK RD STE 200",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373662",
            "telephone_number": "316-364-3128",
            "fax_number": "316-364-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N ROCK RD STE 200",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373662",
            "telephone_number": "316-364-3128",
            "fax_number": "316-364-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "HEGI",
        "authorized_official_first_name": "DAKOTA",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "316-364-3128",
        "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"
        },
        {
            "organization_name": "Roots Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.