Roth Family Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3113 Issued in MN

Legal business name

ROTH FAMILY CHIROPRACTIC INC.

Practice address

1906 30TH Ave South
Moorhead, MN 56560

Phone

(218) 233-2517

Fax

(218) 233-6737

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason D Roth, DCNPI 1144326349

Title

Owner

Phone

(218) 233-2517

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Jason D Roth, DC

  • Chiropractor
  • Moorhead, MN
  • NPI 1144326349
  Medicare reassignment Care Compare group NPD Authorized official
• Stacey Roth, DC

  • Pediatric Chiropractor
  • Moorhead, MN
  • NPI 1770849929
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1104018373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 30TH AVE SOUTH",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-233-2517",
            "fax_number": "218-233-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 30TH AVE SOUTH",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-233-2517",
            "fax_number": "218-233-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-233-2517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3113",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Roller
• Ebonee M Ronningen, MSW, LCSW, LICSW
• Rooted Counseling
• Drew Ross
• David P Rostad, DDS
• Jason D Roth, DC
• Stacey Roth, DC
• Krista Rotondi
• Kendra M Routh
• Jodi Roy

• Chiropractor in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.