Individual provider Active NPI

Jason Rosenberg, DC

  • Chiropractor
  • Washington, DC
National Provider Identifier
1750725818
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03741 Issued in MD
Practice address
1145 19TH St NW Ste 610
Washington, DC 20036-3665
Phone
(202) 733-5604
NPI assigned
Apr 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH030165 DC
Chiropractor 111N00000X S03741 MD Primary

Addresses

Primary practice location

1145 19TH St NW Ste 610
Washington, DC 20036-3665

Mailing address

423 Mount Vernon Ave
Alexandria, VA 22301-2233
Phone (732) 996-3463

Other practice location 1

6285 Franconia Rd
Alexandria, VA 22310-2510
Phone (703) 719-7302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907001169 DC Practitioner - Chiropractic 0143516880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1145 19TH St NW
Suite 610
Washington, DC 20036-3665
Phone (202) 733-5604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03741MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenberg Health Services LLC Chiropractor CurrentSince Jul 8, 2017 Accepting new patients

Locations

1145 19th St NW
Ste 610
Washington, DC 20036
Phone (202) 733-5604

3343 Duke St
Ste 3
Alexandria, VA 22314

4660 Kenmore Ave
Ste 210
Alexandria, VA 22304
Phone (703) 751-6006

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750725818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223012233",
            "telephone_number": "732-996-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 610",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363665",
            "telephone_number": "202-733-5604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6285 Franconia Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223102510",
            "country_code": "US",
            "telephone_number": "703-719-7302",
            "fax_number": "703-719-9462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "CH030165",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.