Mikel Roy

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14053 Issued in FL

Practice address

2679 Garden Plum PL
Odessa, FL 33556-4369

Phone

(720) 982-4896

NPI assigned

Dec 7, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Shor Living Inc

  • Clinic/Center
  • Odessa, FL
  • NPI 1881385417
  NPD Authorized official
• Mr Health, Inc.

  • Clinic/Center
  • Salt Lake City, UT
  • NPI 1447733258
  NPD Authorized official

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1386159663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2679 GARDEN PLUM PL",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564369",
            "telephone_number": "720-982-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 GARDEN PLUM PL",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564369",
            "telephone_number": "720-982-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "MIKEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Rodriguez
• Sydney Nicole Rodski, PA-C
• Christopher Romano, P.T.
• Kimberly Melissa Rose, OTD, OTR/L
• Fermin Roland Rotea, P.T.
• RR Dentistry Trinity, PLLC
• Zaynah Ruddell
• Renee Ruff, CCC-SLP
• Andrew L Rutherford, M.D.
• Kelsey Sadler

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.