Organization Active NPI

Roff - Nodrick Chiropractic

  • Chiropractor
  • Dillon, SC
National Provider Identifier
1619199197
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2509 Issued in SC
Legal business name
ROFF - NODRICK CHIROPRACTIC
Practice address
200 E Roosevelt St
200 East Roosevelt Street
Dillon, SC 29536-2516
Phone
(843) 774-8277
NPI assigned
May 3, 2007
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Roger R Roff, DC
Title
Owner
Phone
(843) 774-8277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2509 SC Primary

Addresses

Primary practice location

200 E Roosevelt St
200 East Roosevelt Street
Dillon, SC 29536-2516

Mailing address

200 E Roosevelt St
Dillon, SC 29536-2516
Phone (843) 774-8277

Other identifiers 2

IdentifierTypeStateIssuer
GCH259MedicaidSC
CH2235MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1619199197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ROOSEVELT ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362516",
            "telephone_number": "843-774-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ROOSEVELT ST",
            "address_2": "200 EAST ROOSEVELT STREET",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362516",
            "telephone_number": "843-774-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROFF - NODRICK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "ROFF",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-774-8277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH259",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2235",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.