Jefferson A Roth, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1557 Issued in CO

Practice address

41191 US Hwy 6 & 24
Avon, CO 81620

Phone

(970) 949-6244

Fax

(970) 949-6325

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alpine Chiropractic & Soft Tissue Diagnostic Center

  • Clinic/Center
  • Avon, CO
  • NPI 1336325901
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811020126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816580699",
            "telephone_number": "970-949-6244",
            "fax_number": "970-949-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41191 US HWY 6 & 24",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-949-6244",
            "fax_number": "970-949-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JEFFERSON",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "1557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retro Dental Group Avon
• Revolutio LLC
• Jessica Richie, PHARMD
• Rimu Respiratory LLC
• Sandra Jo Albert Rose
• Erica Anne Ryan, PT
• Keith Phillips Samuels, M.D.
• Michael Santambrogio, MA, LPC
• Anika Sasinski, PA-C
• Gregory James Schleis, MD

• Sports Physician Chiropractor in Avon, CO
• Providers in Avon, CO by specialty
• Sports Physician Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.