Root Cause Clinic, Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11262 Issued in FL

Legal business name

ROOT CAUSE CLINIC, INCORPORATED

Practice address

15043 Bruce B Downs Blvd
Tampa, FL 33647-1388

Phone

(937) 216-9048

NPI assigned

Apr 17, 2016

Organization subpart

No

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

Authorized official

Name

Jordan Matthew Axe, DC

Title

Owner

Phone

(937) 216-9048

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1669826574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5947 OLD BERKLEY RD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338238302",
            "telephone_number": "937-216-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15043 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471388",
            "telephone_number": "937-216-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT CAUSE CLINIC, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-17",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "AXE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-216-9048",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorraine Marie Rooney, LMT
• Alicin F Roop, PA-C
• Lalith Roopesh
• Rajnarine Roopnarine, DC, MSN,APRN, FNP-BC
• Root & Branch LLC
• Root Cause Medical Clinic Inc
• Root Cause Medical Clinic LLC
• Dylan Root
• Halle Nicole Root, DO
• Malcolm Root, MD

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.