Justin Roth

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001773 Issued in CT

Practice address

355 New Britain Rd
Kensington, CT 06037-1318

Phone

(860) 324-2767

NPI assigned

Feb 9, 2009

Last updated

Sep 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Roth Family Chiropractic LLCGroup PAC ID 8921222738, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Roth Family Chiropractic, LLC

  • Chiropractor
  • Kensington, CT
  • NPI 1912321357
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1104065515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NEW BRITAIN RD",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371318",
            "telephone_number": "860-505-7278",
            "fax_number": "860-505-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NEW BRITAIN RD",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371318",
            "telephone_number": "860-324-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard N. Goldberg, M.D., P.C.
• RMS Development, Inc.
• Vanessa Rodrigues
• James Rogers
• Roth Family Chiropractic, LLC
• Arthur E Roy
• Ursula M Salek, MS,MFT
• Rebecca Sanchez, FNP-C
• Randi Schnur, PH.D.
• Thomas P Smith, PT

• Chiropractor in Kensington, CT
• Providers in Kensington, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.