Active NPI
Robert Stephen Roloff, DC
- Chiropractor
- Inver Grove Heights, MN
National Provider Identifier
1386785525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0015914
- Practice address
- 2940 65TH Street East
Inver Grove Heights, MN 55076 - Phone
- (654) 451-1012
- Fax
- (651) 453-1543
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0015914 | MN | Primary |
Addresses
Primary practice location
2940 65TH Street East
Inver Grove Heights, MN 55076
Mailing address
2940 65TH Street East
Inver Grove Heights, MN 55076
Phone (654) 451-1012
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3707978 | Medicaid | MN | |
| 94265 | Other | MN | MEDICA |
| 230730 | Other | MN | CHIRO CARE |
| 59869IN | Other | MN | BLUE CROSS |
| 411508205 | Other | MN | HEALTH SERVICE MANAGEMENT |
| 471727900 | Other | MN | MN CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015914 | MN | MD | Chiropractor |
| 1591 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1386785525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 65TH STREET EAST",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "55076",
"telephone_number": "654-451-1012",
"fax_number": "651-453-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 65TH STREET EAST",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "55076",
"telephone_number": "654-451-1012",
"fax_number": "651-453-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLOFF",
"first_name": "ROBERT",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "0015914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3707978",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "94265",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIRO CARE",
"identifier": "230730",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "59869IN",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SERVICE MANAGEMENT",
"identifier": "411508205",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN CARE",
"identifier": "471727900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inver Grove Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.