Individual provider Active NPI

Deborah C Rose, D.C.

  • Chiropractor
  • Naples, FL
National Provider Identifier
1194796524
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14518 Issued in FL
Practice address
4670 Cardinal Way Ste 301
Naples, FL 34112-6665
Phone
(732) 530-7229
Fax
(732) 530-4665
NPI assigned
Feb 1, 2006
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00678200 NJ
Chiropractor 111N00000X CH14518 FL Primary

Addresses

Primary practice location

4670 Cardinal Way Ste 301
Naples, FL 34112-6665

Mailing address

4670 Cardinal Way Ste 301
Naples, FL 34112-6665
Phone (239) 284-1322

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

LicenseStateTypeSpecialty
CH14518FLMDChiropractor
38MC00678200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiromed Injury Clinic LLC Chiropractor CurrentSince Dec 31, 2023 Accepting new patients
Fit for Life Health Services PA Chiropractor PastSince Sep 5, 2006 Accepting new patients
Fit for Life Health Services LLC Chiropractor Past Accepting new patients
Proactive Health Chiropractic Chiropractor PastSince Jan 1, 2023 Accepting new patients

Locations

4670 Cardinal Way
Ste 301
Naples, FL 34112
Phone (239) 284-1322

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1194796524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 CARDINAL WAY STE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126665",
            "telephone_number": "239-284-1322",
            "fax_number": "239-304-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 CARDINAL WAY STE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126665",
            "telephone_number": "732-530-7229",
            "fax_number": "732-530-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DEBORAH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00678200",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.