Ted D Rosen, D.C.

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

DC014744 Issued in CA

Practice address

409 Coffee Rd
Modesto, CA 95355-4915

Phone

(209) 527-5346

Fax

(209) 527-0124

NPI assigned

Apr 25, 2006

Reactivated

Jan 7, 2008

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Modesto Chiropractic Center, a Rosen Family Corp.

  dba Modesto Chiropractic Center

  • Chiropractor
  • Modesto, CA
  • NPI 1306058896
  Medicare reassignment NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1245296680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554915",
            "telephone_number": "209-527-5346",
            "fax_number": "209-527-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554915",
            "telephone_number": "209-527-5346",
            "fax_number": "209-527-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "TED",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-01-07",
        "deactivation_date": "2007-11-05",
        "reactivation_date": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC014744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Rose
• Paul Rose, DO
• Samantha Rose
• Roselia Ortega, Licensed Clinical Social Worker, Apc
• Nicholas David Rosen
• Robert Rosenbaum
• Jenna Louise Rosendin
• Eldon Lang Rosenow, OD
• Jerold Rosenthal, M.F.T.
• Chantel Alicia Rosillo

• Occupational Health Chiropractor in Modesto, CA
• Providers in Modesto, CA by specialty
• Occupational Health Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.