Organization Active NPI

Roeder Chiropractic, Inc.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1396959524
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27850 Issued in CA
Legal business name
ROEDER CHIROPRACTIC, INC.
Practice address
2515 Camino del Rio S Ste 110
San Diego, CA 92108-3714
Phone
(619) 291-8111
Fax
(619) 291-8118
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Dr. Carrie Roeder, D.C., Q.M.E.
Title
Ceo
Phone
(619) 291-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27850 CA Primary

Addresses

Primary practice location

2515 Camino del Rio S Ste 110
San Diego, CA 92108-3714

Mailing address

2515 Camino del Rio S Ste 110
San Diego, CA 92108-3714
Phone (619) 291-8111

National Provider Directory

National Provider Directory

Locations

2810 Camino del Rio S
Ste 225
San Diego, CA 92108
Phone (619) 291-8111

2810 Camino del Rio S
Ste 206
San Diego, CA 92108
Phone (619) 291-1811

2515 Camino del Rio S
Ste 225
San Diego, CA 92108
Phone (619) 291-8111

2515 Camino del Rio S
Ste 110
San Diego, CA 92108
Phone (619) 291-8111

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1396959524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CAMINO DEL RIO S STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083714",
            "telephone_number": "619-291-8111",
            "fax_number": "619-291-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CAMINO DEL RIO S STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083714",
            "telephone_number": "619-291-8111",
            "fax_number": "619-291-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROEDER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-291-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., Q.M.E."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.