David W Rose, DC CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

18939 Issued in CA

Practice address

641 Magnolia Ave
#1
Larkspur, CA 94939

Phone

(415) 924-2118

Fax

(415) 924-5564

NPI assigned

Jan 30, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639215148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 MAGNOLIA AVE",
            "address_2": "#1",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "94939",
            "telephone_number": "415-924-2118",
            "fax_number": "415-924-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 MAGNOLIA AVE",
            "address_2": "#1",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "94939",
            "telephone_number": "415-924-2118",
            "fax_number": "415-924-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "DC CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Reznicek, L. AC.
• Audrey Lynette Roberts, P.T.
• Faith Rohlke, MD
• Ronald R. Ward, M.D., F.a.C.S.
• Edgar Dario Rondon, MSW
• Ross Valley Paramedic Authority
• Johannes Petrus Roux, PHD LMFT
• Elizabeth Gayle Rubel, PHD
• Sarah Marie Rubin, PA-C
• Lia Rudnick, PH.D.

• Chiropractor in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.