Alex C. Roa-Olmo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9031 Issued in FL

Practice address

1151 Blackwood Ave Ste 110
Ocoee, FL 34761-4519

Phone

(407) 205-8847

Fax

(407) 930-3544

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alex C. Roa Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allan R Sidorsky DcpaGroup PAC ID 4284860545, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allan R Sidorsky Dcpa

  • Chiropractor
  • Ocoee, FL
  • NPI 1023446911
  Medicare reassignment Care Compare group NPD
• Quantumcare Medical, Sports & Injury LLC

  • General Practice Physician
  • Ocoee, FL
  • NPI 1235515990
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1376624825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BLACKWOOD AVE STE 110",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614519",
            "telephone_number": "407-205-8847",
            "fax_number": "407-930-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BLACKWOOD AVE STE 110",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614519",
            "telephone_number": "407-205-8847",
            "fax_number": "407-930-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROA-OLMO",
        "first_name": "ALEX",
        "middle_name": "C.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "ROA",
            "middle_name": "C.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janice Rivera
• Nicolina Rivera
• Sarina Morgan Rivera
• Madison Rivers
• Mirna Maged Rizkalla
• D'Onna Robinson
• Heidi Robinson, MPA, MHRM
• Joelle Robles, LCSW
• Evionn Rochester
• Amalia Rodriguez

• Chiropractor in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.