Active NPI
Max O Rouslin, D.C.
- Chiropractor
- Asheville, NC
National Provider Identifier
1356421127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2504
- Practice address
- 780 Hendersonville Rd
Suite 17
Asheville, NC 28803-2900 - Phone
- (828) 277-9990
- Fax
- (828) 277-8088
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2504 | NC | Primary |
Addresses
Primary practice location
780 Hendersonville Rd
Suite 17
Asheville, NC 28803-2900
Mailing address
PO Box 15424
Asheville, NC 28813-0424
Phone (828) 277-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890829W | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2504 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356421127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15424",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288130424",
"telephone_number": "828-277-9990",
"fax_number": "828-277-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 HENDERSONVILLE RD",
"address_2": "SUITE 17",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032900",
"telephone_number": "828-277-9990",
"fax_number": "828-277-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSLIN",
"first_name": "MAX",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890829W",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.