Organization Active NPI

Randall L. Roth, D.C.-P.C.

Doing business as Arkansas Spine and Joint Pain Clinic

  • Chiropractor
  • Hot Springs, AR
National Provider Identifier
1174851026
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1219 Issued in AR
Legal business name
RANDALL L. ROTH, D.C.-P.C.
Doing business as
Arkansas Spine and Joint Pain Clinic
Health 1st Wellness & Physical Medicine
Practice address
804 Higdon Ferry Rd
Hot Springs, AR 71913-6129
Phone
(501) 881-4407
Fax
(501) 881-4407
NPI assigned
Dec 3, 2009
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Dr. Randall L Roth, D.C.NPI 1417912759
Title
President/Owner
Phone
(214) 532-5565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1219 AR Primary

Addresses

Primary practice location

804 Higdon Ferry Rd
Hot Springs, AR 71913-6129

Mailing address

804 Higdon Ferry Rd
Hot Springs, AR 71913-6129
Phone (214) 532-5565

Other names 2

  • Arkansas Spine and Joint Pain Clinic Doing business as
  • Health 1st Wellness & Physical Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000214 AR Part B Supplier - Clinic/Group Practice 7214971886 Receives reassigned benefits from 2 practitioners
Practice locations: Hot Springs, AR; North Little Rock, AR

National Provider Directory

National Provider Directory

Locations

804 Higdon Ferry Rd
Hot Springs National Park, AR 71913
Phone (501) 881-4407

305 W Spring Creek Pkwy
Ste 103
Plano, TX 75023
Phone (469) 241-1294

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1174851026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HIGDON FERRY RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136129",
            "telephone_number": "214-532-5565",
            "fax_number": "501-881-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HIGDON FERRY RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136129",
            "telephone_number": "501-881-4407",
            "fax_number": "501-881-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL L. ROTH, D.C.-P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-532-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Spine and Joint Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health 1st Wellness & Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.