Daniel David Roth, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556654 Issued in VA

Practice address

4808 Courthouse St
Ste 202
Williamsburg, VA 23188-2684

Phone

(757) 345-6562

Fax

(757) 345-6516

NPI assigned

Dec 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Williamsburg Neck and Back Center LLC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1699023135
  Medicare reassignment NPD Authorized official
• Olde Towne Wellness LLC

  • Chiropractor
  • Petersburg, VA
  • NPI 1144388315
  NPD (past)
• Spine Care of Tidewater PC

  • Chiropractor
  • Newport News, VA
  • NPI 1790823292
  NPD (past)
• Spine Care of Tidewater, P.C.

  • Chiropractor
  • Hampton, VA
  • NPI 1437296027
  NPD (past)

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1598900573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 COURTHOUSE ST",
            "address_2": "STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882684",
            "telephone_number": "757-345-6562",
            "fax_number": "757-345-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 COURTHOUSE ST",
            "address_2": "STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882684",
            "telephone_number": "757-345-6562",
            "fax_number": "757-345-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Rork, LCSW
• Crystal D Rose
• Kristin K Rosler, MSPT
• Melissa Ross, LPC
• Rosser Opt LTD
• Barbara Leigh Route, FNP-C
• Alyssa Liane Rovder
• Anne Rowe, D.D.S.
• Cynthia Lynn Rowe
• Patricia Sarah Roy, MD

• Chiropractor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.