Active NPI
Joel William Roloff, D.C.
- Chiropractor
- Bismarck, ND
National Provider Identifier
1750566840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 805
- Practice address
- 2000 N 19TH St
Bismarck, ND 58501-2159 - Phone
- (701) 255-5000
- Fax
- (701) 255-5001
- NPI assigned
- Jan 8, 2008
- Last updated
- Apr 23, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 805 | ND | Primary |
Addresses
Primary practice location
2000 N 19TH St
Bismarck, ND 58501-2159
Mailing address
2000 N 19TH St
Bismarck, ND 58501-2159
Phone (701) 255-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750566840 | Other | ND | NATIONAL PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2000 N 19TH St
Bismarck, ND 58501-2159
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adjust Life, LTD | Chiropractor | Current | Accepting new patients |
| Jonathan Chiropractic PC | Chiropractor | Past | Accepting new patients |
Locations
2000 N 19th St
Bismarck, ND 58501
Phone (701) 222-8322
Organizations & group practices 2
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.
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- Chiropractor
- Bismarck, ND
- NPI 1346411873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1750566840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 N 19TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585012159",
"telephone_number": "701-255-5000",
"fax_number": "701-255-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N 19TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585012159",
"telephone_number": "701-255-5000",
"fax_number": "701-255-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLOFF",
"first_name": "JOEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER ID",
"identifier": "1750566840",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.