Jesse Elliot Rosenbaum, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61093335 Issued in WA

Practice address

13317 NE 12TH Ave Ste 115B
Vancouver, WA 98685-2731

Phone

(360) 217-0065

NPI assigned

Jul 27, 2020

Sex

Male

Sole proprietor

Yes

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 WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vitalize Chiropractic and Wellness Center

  • Chiropractor
  • Vancouver, WA
  • NPI 1659062842
  Medicare reassignment NPD Authorized official
• Van Fleet Chiropractic PS

  • Chiropractor
  • Longview, WA
  • NPI 1619274081
  Medicare reassignment NPD

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1144839010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13317 NE 12TH AVE STE 115B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852731",
            "telephone_number": "406-533-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13317 NE 12TH AVE STE 115B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852731",
            "telephone_number": "360-217-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "JESSE",
        "middle_name": "ELLIOT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-01-20",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61093335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Louise Rose
• Matthew Howard Rose, D.O.
• Sophia Rose, CB70109176
• Susan S. Rose, PHD, GCNS-BC, PMHNP
• Jeannie Marie Rosenbalm, OTR
• Stephanie Rene Rosenbaum, CCMA
• April Joy Rosenberg, MSW, ASW
• Nevin M Rosenberg, D.C.
• Keren Rosenblum, MD
• Bonnie L. Rosenfeld, P.A.-C.

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.