San Marco Chiropractic and Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SAN MARCO CHIROPRACTIC AND WELLNESS CENTER

Practice address

1517 Landon Ave
Jacksonville, FL 32207-8654

Phone

(904) 396-1737

Fax

(904) 396-7172

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Roskein, DCNPI 1538163324

Title

Physician

Phone

(904) 396-1737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Roskein

  • Chiropractor
  • Jacksonville, FL
  • NPI 1538163324
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1831275577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 LANDON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078654",
            "telephone_number": "904-396-1737",
            "fax_number": "904-396-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 LANDON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078654",
            "telephone_number": "904-396-1737",
            "fax_number": "904-396-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARCO CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "ROSKEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-396-1737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tiana San Nicolas Collins
• Danielle Joi Sanchack, PSY.D
• Kristian E Sanchack, MD
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• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.