Organization Active NPI

Alexxandria Jo Roush Chiropractic, LLC

  • Chiropractor
  • Grove City, OH
National Provider Identifier
1568969616
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4637 Issued in OH
Legal business name
ALEXXANDRIA JO ROUSH CHIROPRACTIC, LLC
Practice address
3407 McDowell Rd
Grove City, OH 43123
Phone
(614) 991-0224
NPI assigned
Apr 6, 2018
Last updated
Jun 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Dr. Alexxandria Roush Sr., DCNPI 1770959686
Title
Dr.
Phone
(740) 645-4314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4637 OH Primary

Addresses

Primary practice location

3407 McDowell Rd
Grove City, OH 43123

Mailing address

3407 McDowell Rd
Grove City, OH 43123-2934
Phone (614) 991-0224

Other identifiers 1

IdentifierTypeStateIssuer
1770959686OtherFLNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180426001098 OH Part B Supplier - Clinic/Group Practice 0042574105 Receives reassigned benefits from 1 practitioner
Practice locations: Grove City, OH

National Provider Directory

National Provider Directory

Locations

3407 McDowell Rd
Grove City, OH 43123
Phone (614) 446-7979

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1568969616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 MCDOWELL RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232934",
            "telephone_number": "614-991-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 MCDOWELL RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "43123",
            "telephone_number": "614-991-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXXANDRIA JO ROUSH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "ALEXXANDRIA",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "740-645-4314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770959686",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.