Individual provider Active NPI

Max O Rouslin, D.C.

  • Chiropractor
  • Asheville, NC
National Provider Identifier
1356421127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2504 Issued in NC
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
890829WMedicaidNC

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
2504NCMDPediatric 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.

Verify at the official NPI Registry.