Roth Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 3916 Issued in FL

Legal business name

ROTH CHIROPRACTIC, PA

Practice address

7064 Beracasa Way
Boca Raton, FL 33433-3447

Phone

(561) 392-1777

Fax

(561) 750-2361

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John David Roth, DC

Title

Owner,Chiropractor

Phone

(561) 392-1777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• boca del mar chiropractic Former legal business name

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356560122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7064 BERACASA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333447",
            "telephone_number": "561-392-1777",
            "fax_number": "561-750-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7064 BERACASA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333447",
            "telephone_number": "561-392-1777",
            "fax_number": "561-750-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER,CHIROPRACTOR",
        "authorized_official_telephone_number": "561-392-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 3916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "35005495",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "boca del mar chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ian Aubrey Ross, PT
• Kenneth Lawrence Ross, M.D.
• Tiffany Ilana Ross, PA-C
• Lynne Caren Rossler
• Kayla Jade Rossow
• Harvey C Roth, M.D.
• John David Roth, DC
• Spencer Amos Roth, DO
• Todd Stuart Roth, MD
• Joshua Rothenberg, D.O.

• Chiropractor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Chiropractor in Florida

• 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.