Individual provider Active NPI

Jordan Rozich, DC

  • Chiropractor
  • Gibsonia, PA
National Provider Identifier
1437664422
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011327 Issued in PA
Practice address
5332 William Flynn Hwy
Gibsonia, PA 15044-9650
Phone
(724) 444-1066
NPI assigned
Dec 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011327 PA Primary

Addresses

Primary practice location

5332 William Flynn Hwy
Gibsonia, PA 15044-9650

Mailing address

2000 Shadow Glen CT
Apt 305
Wexford, PA 15090-7352

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623000835 OH Practitioner - Chiropractic 8729347562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1562 Cadiz Rd
Wintersville, OH 43953-7630
Phone (740) 264-6235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wintersville Medical Group LLC CurrentSince Feb 20, 2021 Accepting new patients
The Pittsburgh Chiropractor LLC Chiropractor Past Accepting new patients
Kimmey Enterprises Chiropractor PastSince Aug 26, 2013 Accepting new patients
Schrickel Chiropractic, Inc Chiropractor PastSince Feb 20, 2021 Accepting new patients

Locations

1562 Cadiz Rd
Wintersville, OH 43953
Phone (740) 264-1417

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1437664422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SHADOW GLEN CT",
            "address_2": "APT 305",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449650",
            "telephone_number": "724-444-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZICH",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.

Verify at the official NPI Registry.