Willem Albert Johan Roelofsen IV, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000604 Issued in VA

Practice address

1231 Maple Ave SW
Roanoke, VA 24016-4707

Phone

(540) 342-9445

Fax

(540) 342-9446

NPI assigned

May 10, 2006

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 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Becker Clinic LTD

  dba Becker Clinic of Chiropractic

  • Chiropractor
  • Rocky Mount, VA
  • NPI 1912065277
  NPD (past)
• Reynolds Chiropractic, LLC

  • Chiropractor
  • Roanoke, VA
  • NPI 1225756067
  NPD (past)
• Tuck Chiropractic Corporation

  dba Tuck Chiropractic Clinic

  • Chiropractor
  • Blacksburg, VA
  • NPI 1003987769
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811946452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 MAPLE AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164707",
            "telephone_number": "540-342-9445",
            "fax_number": "540-342-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 MAPLE AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164707",
            "telephone_number": "540-342-9445",
            "fax_number": "540-342-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELOFSEN",
        "first_name": "WILLEM",
        "middle_name": "ALBERT JOHAN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0638226001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7147395",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "453587",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Nell Rodes, PA-C
• Anne Rodgers, PA-C
• Jeffrey Thomas Rodgers
• Dulce M. Rodriguez-Goyos, PA
• David Rodriguez, RD
• Kiersten Roesemann, APRN, FNP-C
• Caitlyn Rogers
• Cara Marie Rogers, DO
• Samuel Rogers Jr., PH.D.
• Nicki Rohani

• Chiropractor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.