John Rotondi
Individual provider Active NPI Chiropractor · Greenville, SC
NPI 1720143423 · NPPES record last updated Jun 6, 2016
Key facts
- NPI
- 1720143423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2477 (SC)
- Practice address
- 1200 Woodruff Rd
Ste a-9
Greenville, SC 29607-5730 - Phone
- (864) 434-2529
- NPI assigned
- Dec 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Apple Wellness LLP
Practice addresses (Care Compare)
1650 45TH St S
Suite 113
Fargo, ND 58103-3247
Phone (701) 532-0397
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141124002529 | ND | Practitioner - Chiropractic | 9830084417 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Apple Wellness, LLP | Chiropractor | Current |
Accepting new patients |
| Blue Apple Wellness, LLP | Chiropractor | Current | Accepting new patients |
| Blue Apple Wellness, LLP | Chiropractor | Current |
Accepting new patients |
| Myers Chiropractic PLLC | Chiropractor | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2477 | SC | Yes |
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
Other providers in Greenville, SC
- Margaret Ann Roth
- Prerana Jain Roth
- Leonardo Rothenberger
- Emily Christine Rothermel
- Lindsay J Rothrock
- Andrew Roudebush
- Sarah Rouleau
- Shelia Elizabeth Roundtree
- Kiera Nicole Rountree
- Rourk B. Freeman, DMD,PA
All providers in Greenville, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.