Organization Active NPI

Root of Wellness LLC

  • Chiropractor
  • Daytona Beach, FL
National Provider Identifier
1205436565
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROOT OF WELLNESS LLC
Practice address
1301 Beville Rd Ste 6
Daytona Beach, FL 32119-1503
Phone
(386) 322-9800
NPI assigned
Oct 27, 2020
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Amber N Scott, DCNPI 1639711542
Title
Authorized Offical
Phone
(814) 762-2598

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 Primary

Addresses

Primary practice location

1301 Beville Rd Ste 6
Daytona Beach, FL 32119-1503

Mailing address

1301 Beville Rd Ste 6
Daytona Beach, FL 32119-1503
Phone (386) 322-9800

Other practice location 1

687 Beville Rd Ste B
South Daytona, FL 32119-1970
Phone (386) 322-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201130002454 FL Part B Supplier - Clinic/Group Practice 1658782446 Receives reassigned benefits from 1 practitioner
Practice locations: South Daytona, FL

National Provider Directory

National Provider Directory

Locations

1301 Beville Rd
Ste 6
Daytona Beach, FL 32119
Phone (386) 322-9800

687 Beville Rd
Ste B
South Daytona, FL 32119
Phone (386) 322-9800

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": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1205436565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BEVILLE RD STE 6",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191503",
            "telephone_number": "386-322-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BEVILLE RD STE 6",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191503",
            "telephone_number": "386-322-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "687 Beville Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "South Daytona",
            "state": "FL",
            "postal_code": "321191970",
            "country_code": "US",
            "telephone_number": "386-322-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOT OF WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "814-762-2598",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.