Individual provider Active NPI

Richie Reed Roth, D.C.

  • Chiropractor
  • Denham Springs, LA
National Provider Identifier
1225096829
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1058 Issued in LA
Practice address
32350 La Highway 16
BLDG C
Denham Springs, LA 70726-1463
Phone
(225) 664-1456
Fax
(866) 766-9895
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1058 LA Primary
Chiropractor 111N00000X 1264 AR

Addresses

Primary practice location

32350 La Highway 16
BLDG C
Denham Springs, LA 70726-1463

Mailing address

32350 La Highway 16
BLDG C
Denham Springs, LA 70726-1463
Phone (225) 664-1456

Other identifiers 1

IdentifierTypeStateIssuer
721506741OtherLAEMPLOYER IDENTIFICATION #

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
1058LAMDClinical Social Worker
1264ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
La Health Centers, a Professional Corporation Current Accepting new patients

Locations

32350 LA Highway 16
Bldg C
Denham Springs, LA 70726
Phone (225) 304-0103

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1225096829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32350 LA HIGHWAY 16",
            "address_2": "BLDG C",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707261463",
            "telephone_number": "225-664-1456",
            "fax_number": "866-766-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32350 LA HIGHWAY 16",
            "address_2": "BLDG C",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707261463",
            "telephone_number": "225-664-1456",
            "fax_number": "866-766-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RICHIE",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1058",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION #",
            "identifier": "721506741",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.