Active NPI
Randall John Rochester, DC
- Chiropractor
- Port Orange, FL
National Provider Identifier
1245388651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH5018
- Practice address
- 733 Dunlawton Ave
Suite 102
Port Orange, FL 32127-4226 - Phone
- (386) 767-8492
- Fax
- (386) 788-1037
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH5018 | FL | Primary |
Addresses
Primary practice location
733 Dunlawton Ave
Suite 102
Port Orange, FL 32127-4226
Mailing address
733 Dunlawton Ave
Suite 102
Port Orange, FL 32127-4226
Phone (386) 760-0806
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH5018 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546214400000",
"number": "1245388651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 DUNLAWTON AVE",
"address_2": "SUITE 102",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274226",
"telephone_number": "386-760-0806",
"fax_number": "386-788-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 DUNLAWTON AVE",
"address_2": "SUITE 102",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274226",
"telephone_number": "386-767-8492",
"fax_number": "386-788-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHESTER",
"first_name": "RANDALL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH5018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.