Organization Active NPI

Roshel Chiropractic PC

  • Chiropractor
  • Terre Haute, IN
National Provider Identifier
1689935090
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002645A Issued in IN
Legal business name
ROSHEL CHIROPRACTIC PC
Practice address
4251 S 7TH St
Terre Haute, IN 47802-4367
Phone
(812) 478-2000
Fax
(708) 778-4149
NPI assigned
Jun 1, 2012
Last updated
Jun 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
James L Roshel, D.C.NPI 1669739199
Title
Owner
Phone
(812) 478-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002645A IN Primary

Addresses

Primary practice location

4251 S 7TH St
Terre Haute, IN 47802-4367

Mailing address

4251 S 7TH St
Terre Haute, IN 47802-4367
Phone (812) 478-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120627000429 IN Part B Supplier - Clinic/Group Practice 9133384050 Receives reassigned benefits from 1 practitioner
Practice locations: Terre Haute, IN

National Provider Directory

National Provider Directory

Locations

4251 S 7th St
Terre Haute, IN 47802
Phone (812) 478-2000

5101 S US Highway 41
Terre Haute, IN 47802
Phone (812) 298-9800

Practitioners & affiliated clinicians

Practitioners 1

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": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1689935090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024367",
            "telephone_number": "812-478-2000",
            "fax_number": "708-778-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024367",
            "telephone_number": "812-478-2000",
            "fax_number": "708-778-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHEL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "ROSHEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-478-2000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002645A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.