Jared Anthony Rosa, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14355 Issued in FL

Practice address

569 Health Blvd Ste C
Daytona Beach, FL 32114-1499

Phone

(386) 258-9800

Fax

(386) 238-0092

NPI assigned

Jan 9, 2023

Sex

Male

Sole proprietor

No

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doris Antos DC PLGroup PAC ID 9638294846, 2 clinicians

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 and National Provider Directory roles.

• Doris Antos DC PL

  • Chiropractor
  • Daytona Beach, FL
  • NPI 1295055499
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1619681277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 HEALTH BLVD STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141499",
            "telephone_number": "386-258-9800",
            "fax_number": "386-238-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 HEALTH BLVD STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141499",
            "telephone_number": "386-258-9800",
            "fax_number": "386-238-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "JARED",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyneek M Rone, BA
• Melanie Marie Rooney, CRNA
• Root of Wellness LLC
• Ropha Healthcare
• Rey Marcelo Rosa-Maldonado
• Nichol Rosace, CRNA
• Marquita Rosales, PMHNP-BC
• Juanito Rosario
• Allison Rose, ATC, LAT
• Jeffrey Ben Rosenberg, DDS

• Chiropractor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.