Active NPI
Kaci Raye Roach, D.C.
- Chiropractor
- Amarillo, TX
National Provider Identifier
1326281189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11147
- Practice address
- 3501 S. Soncy
Suite 1001
Amarillo, TX 79119 - Phone
- (806) 367-8719
- Fax
- (806) 418-4329
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 11147 | TX | Primary |
Addresses
Primary practice location
3501 S. Soncy
Suite 1001
Amarillo, TX 79119
Mailing address
3501 S. Soncy
Suite 1001
Amarillo, TX 79119
Phone (806) 367-8719
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kershen Health Services | Chiropractor | Past | Accepting new patients |
| West Texas Regenerative Medicine Clinic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Canyon, TX
- NPI 1760931497
-
- Physical Medicine & Rehabilitation Physician
- Canyon, TX
- NPI 1750654984
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1326281189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 S. SONCY",
"address_2": "SUITE 1001",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79119",
"telephone_number": "806-367-8719",
"fax_number": "806-418-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S. SONCY",
"address_2": "SUITE 1001",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79119",
"telephone_number": "806-367-8719",
"fax_number": "806-418-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "KACI",
"middle_name": "RAYE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.