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

Last updated

May 16, 2023By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shor Living Inc

  dba Shor Chiropractic

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

  dba Align Utah

  • 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 (Spring Haven Dental)
• 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.