Individual provider Active NPI

Arica Roetemeyer, D.C.

  • Chiropractor
  • Los Gatos, CA
National Provider Identifier
1326461666
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34270 Issued in CA
Practice address
15445 Los Gatos Blvd
Los Gatos, CA 95032-2501
Phone
(408) 355-9890
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34270 CA Primary

Addresses

Primary practice location

15445 Los Gatos Blvd
Los Gatos, CA 95032-2501

Mailing address

15445 Los Gatos Blvd
Los Gatos, CA 95032-2501
Phone (408) 355-9890

Other identifiers 1

IdentifierTypeStateIssuer
24500OtherCASATELLITE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL losgatossportschiro.com

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
34270CAMDPsychologist
5543ORMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1326461666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15445 LOS GATOS BLVD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322501",
            "telephone_number": "408-355-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15445 LOS GATOS BLVD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322501",
            "telephone_number": "408-355-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROETEMEYER",
        "first_name": "ARICA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SATELLITE LICENSE NUMBER",
            "identifier": "24500",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "losgatossportschiro.com",
            "affiliation": "N",
            "address_1": "15445 Los Gatos Blvd",
            "city": "Los Gatos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950322501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.