Individual provider Active NPI

John Rotondi

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1720143423
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2477 Issued in SC
Practice address
1200 Woodruff Rd
Ste a-9
Greenville, SC 29607-5730
Phone
(864) 434-2529
NPI assigned
Dec 25, 2006
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2477 SC Primary

Addresses

Primary practice location

1200 Woodruff Rd
Ste a-9
Greenville, SC 29607-5730

Mailing address

231 Pine Ridge Dr
Easley, SC 29642-3220
Phone (864) 434-2529

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141124002529 ND Practitioner - Chiropractic 9830084417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Apple Wellness LLPGroup PAC ID 1456613132, 3 clinicians

Practice addresses (Care Compare)

1650 45TH St S
Suite 113
Fargo, ND 58103-3247
Phone (701) 532-0397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
926NDMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Apple Wellness, LLP Chiropractor CurrentSince Mar 1, 2018 Accepting new patients
Blue Apple Wellness, LLP Chiropractor CurrentSince Mar 1, 2018 Accepting new patients
Blue Apple Wellness, LLP Chiropractor Current Accepting new patients
Myers Chiropractic PLLC Chiropractor PastSince Apr 30, 2023 Accepting new patients

Locations

1008 N 7th Ave
Ste I
Bozeman, MT 59715
Phone (406) 404-1236

1001 W Interstate Ave
Ste 108
Bismarck, ND 58503
Phone (701) 751-1541

1650 45th St S
Ste 113
Fargo, ND 58103
Phone (701) 532-0397

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1720143423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 PINE RIDGE DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423220",
            "telephone_number": "864-434-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WOODRUFF RD",
            "address_2": "STE A-9",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075730",
            "telephone_number": "864-434-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTONDI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.