Individual provider Active NPI

Daniel Roode, DC

  • Chiropractor
  • Largo, FL
National Provider Identifier
1114244647
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9921 Issued in FL
Practice address
10225 Ulmerton Rd Ste 2a
Largo, FL 33771-3538
Phone
(727) 581-3800
Fax
(727) 387-2334
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9921 FL Primary
Internist Chiropractor 111NI0900X CH9921 FL

Addresses

Primary practice location

10225 Ulmerton Rd Ste 2a
Largo, FL 33771-3538

Mailing address

10225 Ulmerton Rd Ste 2a
Largo, FL 33771-3538
Phone (727) 581-3800

Other practice location 1

5432 Springhill Dr.
Springhill, FL 34606
Phone (352) 684-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100717000235 FL Practitioner - Chiropractic 3779615398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10225 Ulmerton Rd
Largo, FL 33771-3519
Phone (727) 581-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Chiropractic Solutions LLC Chiropractor CurrentSince Sep 13, 2024 Accepting new patients

Locations

10225 Ulmerton Rd
Ste 2
Largo, FL 33771
Phone (727) 581-3800

10225 Ulmerton Rd
Ste 2A
Largo, FL 33771
Phone (727) 581-3800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1114244647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD STE 2A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-581-3800",
            "fax_number": "727-387-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD STE 2A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-581-3800",
            "fax_number": "727-387-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5432 Springhill Dr.",
            "address_purpose": "LOCATION",
            "city": "Springhill",
            "state": "FL",
            "postal_code": "34606",
            "country_code": "US",
            "telephone_number": "352-684-7676",
            "fax_number": "352-684-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROODE",
        "first_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9921",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "FL",
            "license": "CH9921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.