Individual provider Active NPI

Marissa Roeske, DC

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1508613217
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401498 Issued in MI
Practice address
1030 Hastings St Ste 110
Traverse City, MI 49686-3470
Phone
(231) 342-3773
NPI assigned
May 1, 2024
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401498 MI Primary
Chiropractor 111N00000X 7242 MN

Addresses

Primary practice location

1030 Hastings St Ste 110
Traverse City, MI 49686-3470

Mailing address

8320 Easy St
Lake Ann, MI 49650-9413
Phone (231) 342-3773

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

LicenseStateTypeSpecialty
2301401498MIMDChiropractor
7242MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropracther, PLLC Chiropractor CurrentSince May 11, 2025 Accepting new patients
Attune Chiropractic and Natural Health, PLLC Chiropractor PastSince May 1, 2024 Accepting new patients

Locations

1030 Hastings St
Ste 110
Traverse City, MI 49686
Phone (231) 342-3773

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1508613217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 EASY ST",
            "city": "LAKE ANN",
            "state": "MI",
            "postal_code": "496509413",
            "telephone_number": "231-342-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HASTINGS ST STE 110",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863470",
            "telephone_number": "231-342-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESKE",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401498",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.