Organization Active NPI

Roman Family Chiro PLLC

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1386691699
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4818 Issued in CO
Legal business name
ROMAN FAMILY CHIRO PLLC
Practice address
2584 Patterson Rd Suite D
Grand Junction, CO 81505-1445
Phone
(970) 243-8896
Fax
(970) 245-1511
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Randy RomanNPI 1659490910
Title
President
Phone
(970) 243-8896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4818 CO Primary

Addresses

Primary practice location

2584 Patterson Rd Suite D
Grand Junction, CO 81505-1445

Mailing address

2584 Patterson Rd Suite D
Grand Junction, CO 81505-1445
Phone (970) 243-8896

Other identifiers 1

IdentifierTypeStateIssuer
639772OtherCOBCBS INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001805 CO Part B Supplier - Clinic/Group Practice 3971599648 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

2232 N 7th St
Ste 6
Grand Junction, CO 81501
Phone (970) 243-8896

2584 Patterson Rd
Ste D
Grand Junction, CO 81505
Phone (970) 243-8896

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1386691699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2584 PATTERSON RD SUITE D",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051445",
            "telephone_number": "970-243-8896",
            "fax_number": "970-245-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2584 PATTERSON RD SUITE D",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051445",
            "telephone_number": "970-243-8896",
            "fax_number": "970-245-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN FAMILY CHIRO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-243-8896"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "639772",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.