NPIMap

Organization Active NPI

The Roeske Clinic, PC

  • Neurology Chiropractor
  • Smyrna, GA
National Provider Identifier
1720200116
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CHIR001242 Issued in GA
Legal business name
THE ROESKE CLINIC, PC
Practice address
757 Concord Rd SE
Smyrna, GA 30082-2626
Phone
(770) 435-0200
Fax
(770) 435-4362
NPI assigned
May 3, 2007
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Rich Roeske, DC, DABCO, DABCN
Title
Owner
Phone
(770) 435-0200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CHIR001370 GA
Neurology Chiropractor 111NN0400X CHIR001242 GA Primary
Orthopedic Chiropractor 111NX0800X CHIR001242 GA

Addresses

Primary practice location

757 Concord Rd SE
Smyrna, GA 30082-2626

Mailing address

757 Concord Rd SE
Smyrna, GA 30082-2626
Phone (770) 435-0200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1720200116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822626",
            "telephone_number": "770-435-0200",
            "fax_number": "770-435-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822626",
            "telephone_number": "770-435-0200",
            "fax_number": "770-435-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROESKE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "ROESKE",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-435-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DABCO, DABCN"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "CHIR001370",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "CHIR001242",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "GA",
            "license": "CHIR001242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.