Active NPI
Randall Rosenthal, D.C.
- Rehabilitation Chiropractor
- Munster, IN
National Provider Identifier
1700107703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 08002526A
- Practice address
- 931 Ridge Rd
Ste G
Munster, IN 46321-1755 - Phone
- (219) 227-8927
- Fax
- (866) 322-6960
- NPI assigned
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 08002526A | IN | Primary |
Addresses
Primary practice location
931 Ridge Rd
Ste G
Munster, IN 46321-1755
Mailing address
931 Ridge Rd
Suite G
Munster, IN 46321-1755
Phone (219) 227-8927
Other names 1
- Dr. Randy Rosenthal
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 |
|---|---|---|---|
| 08002526A | IN | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1700107703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 RIDGE RD",
"address_2": "SUITE G",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211755",
"telephone_number": "219-227-8927",
"fax_number": "866-322-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 RIDGE RD",
"address_2": "STE G",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211755",
"telephone_number": "219-227-8927",
"fax_number": "866-322-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IN",
"license": "08002526A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RANDY",
"last_name": "ROSENTHAL",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.