Individual provider Active NPI

James Albert Roles, D.C

  • Chiropractor
  • N Charleston, SC
National Provider Identifier
1811922495
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3525 Issued in SC
Practice address
2102 Otranto Blvd
N. Charleston, SC 29406
Phone
(843) 569-2225
Fax
(843) 766-3433
NPI assigned
Jul 11, 2006
Last updated
Nov 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 19587 CA
Chiropractor 111N00000X 3525 SC Primary

Addresses

Primary practice location

2102 Otranto Blvd
N. Charleston, SC 29406

Mailing address

1835 Savage Rd
Charleston, SC 29407-4726
Phone (843) 763-2230

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ54283ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3525SCMDGeneral Practice Dentistry
19587CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Neck & Back Care, LLC Chiropractor PastSince Sep 1, 2008 Accepting new patients
Kremer Family Chiropractic Inc Chiropractor Past Accepting new patients
Kremer Chiropractic, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1811922495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVAGE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074726",
            "telephone_number": "843-763-2230",
            "fax_number": "843-763-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 OTRANTO BLVD",
            "city": "N. CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-569-2225",
            "fax_number": "843-766-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLES",
        "first_name": "JAMES",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19587",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ54283Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.