Ecdcemc LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ECDCEMC LLC

Doing business as

Roach Family Chiropractic Clinic

Practice address

1509 W Stan Schlueter Loop
Killeen, TX 76549-3679

Phone

(254) 680-7774

Fax

(254) 680-7718

NPI assigned

Aug 25, 2022

Last updated

Apr 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edwin Collazo, DCNPI 1225018344

Title

Owner

Phone

(254) 680-7774

Specialties & licenses 1

Addresses

Other names 1

• Roach Family Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwin Collazo, D.C.

  • Chiropractor
  • Killeen, TX
  • NPI 1225018344
  Medicare reassignment NPD Authorized official
• Seth Reuben Gross, D.C.

  • Chiropractor
  • Elmsford, NY
  • NPI 1164573382

  TX

  Medicare reassignment NPD
• Jason Rounds, DC

  • Chiropractor
  • Killeen, TX
  • NPI 1245851666
  NPD
• Candy Saball

  • Massage Therapist
  • Killeen, TX
  • NPI 1962370056
  NPD
• Todd York Roach, D.C.

  • Chiropractor
  • Killeen, TX
  • NPI 1922141373
  NPD (past)

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1336868090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W STAN SCHLUETER LOOP",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765493679",
            "telephone_number": "254-680-7774",
            "fax_number": "254-680-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W STAN SCHLUETER LOOP",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765493679",
            "telephone_number": "254-680-7774",
            "fax_number": "254-680-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECDCEMC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-680-7774",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roach Family Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James R Eads, LCSW
• Niara Monet Eans, LMFT, LPC
• Katherine A Easterwood, RN MSN CNS CCRC
• Lucas Ebaugh, DMD
• Lori Ann Eby
• Ed P Kemper, MD, PA
• Gerald Edelman, M.D.
• Jane Dunn Edmonson, LMT
• Tahjai Edney
• Maribel A Edwards

• Chiropractor in Killeen, TX
• Providers in Killeen, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.