Active NPI
David R Root, D.C., P.T.
- Physical Therapist
- Dunkirk, NY
National Provider Identifier
1588660302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4983811
- Practice address
- 4867 W Lake Rd
Suite 6
Dunkirk, NY 14048-9613 - Phone
- (716) 366-2229
- Fax
- (716) 366-7874
- NPI assigned
- Jun 27, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4983811 | NY | Primary |
| Chiropractor | 111N00000X | 5002477 | NY |
Addresses
Primary practice location
4867 W Lake Rd
Suite 6
Dunkirk, NY 14048-9613
Mailing address
4867 W Lake Rd
Suite 6
Dunkirk, NY 14048-9613
Phone (716) 366-2229
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5002477 | NY | MD | Chiropractor |
| 003178 | NY | MD | Acupuncturist |
| 4983811 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1588660302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4867 W LAKE RD",
"address_2": "SUITE 6",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140489613",
"telephone_number": "716-366-2229",
"fax_number": "716-366-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 W LAKE RD",
"address_2": "SUITE 6",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140489613",
"telephone_number": "716-366-2229",
"fax_number": "716-366-7874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOT",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C., P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "4983811",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "5002477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.