Active NPI
Thomas E. Roell, D.C.
- Chiropractor
- Athens, OH
National Provider Identifier
1164523551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2465
- Practice address
- 3940 Hebbardsville Rd
Athens, OH 45701-8972 - Phone
- (740) 818-8667
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2465 | OH | Primary |
Addresses
Primary practice location
3940 Hebbardsville Rd
Athens, OH 45701-8972
Mailing address
3940 Hebbardsville Rd
Athens, OH 45701-8972
Phone (740) 818-8667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016580 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2465 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618617600000",
"number": "1164523551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 HEBBARDSVILLE RD",
"city": "ATHENS",
"state": "OH",
"postal_code": "457018972",
"telephone_number": "740-818-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 HEBBARDSVILLE RD",
"city": "ATHENS",
"state": "OH",
"postal_code": "457018972",
"telephone_number": "740-818-8667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROELL",
"first_name": "THOMAS",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2021-04-17",
"certification_date": "2021-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2016580",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.