Active NPI
Virginia St John Roe, D.C., DACNB
- Neurology Chiropractor
- Oakland, CA
National Provider Identifier
1659466977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- DC015024
- Practice address
- 6333 Telegraph Ave
Suite #203
Oakland, CA 94609-1359 - Phone
- (510) 450-1144
- Fax
- (510) 450-1147
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | DC015024 | CA | Primary |
| Orthopedic Chiropractor | 111NX0800X | DC015024 | CA |
Addresses
Primary practice location
6333 Telegraph Ave
Suite #203
Oakland, CA 94609-1359
Mailing address
6333 Telegraph Ave
Suite #203
Oakland, CA 94609-1359
Phone (510) 450-1144
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 |
|---|---|---|---|
| DC015024 | CA | MD | Neurology Chiropractor |
| 15024 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1659466977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 TELEGRAPH AVE",
"address_2": "SUITE #203",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091359",
"telephone_number": "510-450-1144",
"fax_number": "510-450-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 TELEGRAPH AVE",
"address_2": "SUITE #203",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091359",
"telephone_number": "510-450-1144",
"fax_number": "510-450-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "VIRGINIA",
"middle_name": "ST JOHN",
"name_prefix": "Dr.",
"credential": "D.C., DACNB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "DC015024",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "DC015024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.