Active NPI
Randall Lynn Roth, D.C.
- Chiropractor
- Hot Springs, AR
National Provider Identifier
1417912759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1219
- Practice address
- 804 Higdon Ferry Rd
Hot Springs, AR 71913-6129 - Phone
- (501) 881-4407
- Fax
- (501) 881-4407
- NPI assigned
- Apr 19, 2006
- 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 | 1219 | AR | Primary |
Addresses
Primary practice location
804 Higdon Ferry Rd
Hot Springs, AR 71913-6129
Mailing address
804 Higdon Ferry Rd
Hot Springs, AR 71913-6129
Phone (501) 881-4407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59741 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
804 Higdon Ferry Rd
Hot Springs, AR 71913-6129
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1219 | AR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randall L. Roth, D.C.-P.C. | Chiropractor | Current | Accepting new patients |
Locations
804 Higdon Ferry Rd
Hot Springs National Park, AR 71913
Phone (501) 881-4407
305 W Spring Creek Pkwy
Ste 103
Plano, TX 75023
Phone (469) 241-1294
Organizations & group practices 1
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.
-
- Chiropractor
- Hot Springs, AR
- NPI 1174851026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1417912759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 HIGDON FERRY RD",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136129",
"telephone_number": "501-881-4407",
"fax_number": "501-881-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 HIGDON FERRY RD",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136129",
"telephone_number": "501-881-4407",
"fax_number": "501-881-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "RANDALL",
"middle_name": "LYNN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "59741",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.