NPIMap

Organization Active NPI

Robert D Rolle P.C.

  • Chiropractor
  • Charlotte, MI
National Provider Identifier
1184915076
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006994 Issued in MI
Legal business name
ROBERT D ROLLE P.C.
Practice address
106 S Washington St
Charlotte, MI 48813-1545
Phone
(517) 543-7595
Fax
(517) 543-7594
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Robert D Rolle, DCNPI 1538277025
Title
Office Manager
Phone
(517) 543-7595

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301006994 MI Primary

Addresses

Primary practice location

106 S Washington St
Charlotte, MI 48813-1545

Mailing address

106 S Washington St
Charlotte, MI 48813-1545
Phone (517) 543-7595

Other names 1

  • rolle chiropractic clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110512000065 MI Part B Supplier - Clinic/Group Practice 0547446353 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, MI

National Provider Directory

National Provider Directory

Locations

106 S Washington St
Charlotte, MI 48813
Phone (517) 543-7595

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1184915076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S WASHINGTON ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131545",
            "telephone_number": "517-543-7595",
            "fax_number": "517-543-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S WASHINGTON ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131545",
            "telephone_number": "517-543-7595",
            "fax_number": "517-543-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D ROLLE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "ROLLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-543-7595",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rolle chiropractic clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.