Paul James Roob, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

941 Issued in SD

Practice address

110 W Main St
Vermillion, SD 57069-3036

Phone

(605) 624-9101

Fax

(605) 624-7832

NPI assigned

Jan 30, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Vermillion Chiropractic, P.C.

  • Chiropractor
  • Vermillion, SD
  • NPI 1508098658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811033301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W MAIN ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693036",
            "telephone_number": "605-624-9101",
            "fax_number": "605-624-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MAIN ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693036",
            "telephone_number": "605-624-9101",
            "fax_number": "605-624-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOB",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600810",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Frank Quail, M.D.
• Kimber Lee Reins, SLP
• Dawn Reuvers, OTR
• Amy R Richardson, ATC
• Lukas Dean Rohde, PA
• Sarah Marie Roob, DPT
• Lindsay Jean Rupp, ATC
• Caleb Sanders, SRNA
• Sanford Health Network
• Sanford Health Network

• All providers in Vermillion, SD
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.