Organization Active NPI

Roth Family Chiropractic, LLC

  • Chiropractor
  • Rhinelander, WI
National Provider Identifier
1346377967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3510 Issued in WI
Legal business name
ROTH FAMILY CHIROPRACTIC, LLC
Practice address
3716 Country Dr
Ste#2
Rhinelander, WI 54501-2464
Phone
(715) 365-1200
Fax
(715) 365-1202
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Earl J Roth, DC
Title
Member
Phone
(715) 365-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3510 WI Primary

Addresses

Primary practice location

3716 Country Dr
Ste#2
Rhinelander, WI 54501-2464

Mailing address

3716 Country Dr
Ste#2
Rhinelander, WI 54501-2464
Phone (715) 365-1200

Other identifiers 1

IdentifierTypeStateIssuer
38937600MedicaidWI

National Provider Directory

National Provider Directory

Locations

3716 Country Dr
Ste 2
Rhinelander, WI 54501
Phone (715) 365-1200

5829 Birch Ln
Rhinelander, WI 54501
Phone (715) 365-1200

Practitioners & affiliated clinicians

Practitioners 3

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346377967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 COUNTRY DR",
            "address_2": "STE#2",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012464",
            "telephone_number": "715-365-1200",
            "fax_number": "715-365-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 COUNTRY DR",
            "address_2": "STE#2",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012464",
            "telephone_number": "715-365-1200",
            "fax_number": "715-365-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-365-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38937600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.