Kevin Rose, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31968 Issued in CA

Practice address

2635 Camino del Rio S Ste 301
San Diego, CA 92108-3729

Phone

(619) 818-4306

Fax

(619) 828-1030

NPI assigned

Aug 24, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rose Chiropractic Corporation, a Professional CorporationGroup PAC ID 8729491501, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Rose Chiropractic Corporation, a Professional Corporation

  • Chiropractor
  • San Diego, CA
  • NPI 1902360506
  Medicare reassignment Care Compare group NPD Authorized official
• Rose Chiropractic

  • Chiropractor
  • San Diego, CA
  • NPI 1891041851
  NPD (past) Authorized official

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1760762587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 CAMINO DEL RIO S STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083729",
            "telephone_number": "619-818-4306",
            "fax_number": "619-828-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 CAMINO DEL RIO S STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083729",
            "telephone_number": "619-818-4306",
            "fax_number": "619-828-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James David Rose, P.T.
• Jami Renee Rose, L.AC. DIPL. OM
• John Patrick Rose, OTR/L
• Kathy Jo Rose, MFT
• Katy Rose, CFMHC
• Laura Anne Rose, MD
• Linda Susan Rose, L.C.S.W.
• Marc David Rose, M.D.
• Melinda Kay Rose, IMF
• Nadia Edith Rose, LCSW

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.