Active NPI
Modesto Chiropractic Center, a Rosen Family Corp.
- Chiropractor
- Modesto, CA
National Provider Identifier
1306058896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0147440
- Legal business name
- MODESTO CHIROPRACTIC CENTER, A ROSEN FAMILY CORP.
- Practice address
- 409 Coffee Road
Modesto, CA 95355 - Phone
- (209) 527-5346
- Fax
- (209) 527-0124
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas Rosen, D.C.
- Title
- Owner
- Phone
- (209) 527-5346
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0147440 | CA | Primary |
Addresses
Primary practice location
409 Coffee Road
Modesto, CA 95355
Mailing address
409 Coffee Road
Modesto, CA 95355
Phone (209) 527-5346
Other names 1
- Modesto Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090317000070 | CA | Part B Supplier - Clinic/Group Practice | 7517024607 |
Receives reassigned benefits from 2 practitioners Practice locations: Modesto, CA |
National Provider Directory
National Provider DirectoryLocations
409 Coffee Rd
Modesto, CA 95355
Phone (209) 527-5346
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1306058896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 COFFEE ROAD",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"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 ROAD",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-527-5346",
"fax_number": "209-527-0124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODESTO CHIROPRACTIC CENTER, A ROSEN FAMILY CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-527-5346",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0147440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Modesto Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.