NPIMap

Organization Active NPI

Chiropracther, PLLC

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1336938471
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTHER, PLLC
Practice address
1030 Hastings St Ste 110
Traverse City, MI 49686-3470
Phone
(231) 342-3773
NPI assigned
May 5, 2025
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Marissa Roeske, DCNPI 1508613217
Title
Owner/Chiropractor
Phone
(231) 342-3773

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)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1030 Hastings St Ste 110
Traverse City, MI 49686-3470

Mailing address

8320 Easy St
Lake Ann, MI 49650-9413
Phone (231) 342-3773

National Provider Directory

National Provider Directory

Locations

1030 Hastings St
Ste 110
Traverse City, MI 49686
Phone (231) 342-3773

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1336938471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 EASY ST",
            "city": "LAKE ANN",
            "state": "MI",
            "postal_code": "496509413",
            "telephone_number": "231-342-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HASTINGS ST STE 110",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863470",
            "telephone_number": "231-342-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTHER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "ROESKE",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "231-342-3773",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.