Individual provider Active NPI

Jared Lynne Roscoe, D.C.

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1831538040
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10883 Issued in FL
Practice address
205 N Garden Ave Ste 100
Clearwater, FL 33755-4124
Phone
(727) 447-4647
Fax
(727) 443-3195
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10883 FL Primary

Addresses

Primary practice location

205 N Garden Ave Ste 100
Clearwater, FL 33755-4124

Mailing address

205 N Garden Ave Ste 100
Clearwater, FL 33755-4124
Phone (727) 447-4647

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Life Chiropractic PA Chiropractor CurrentSince Jul 31, 2013 Accepting new patients
New Era Medical PLLC Current Accepting new patients

Locations

205 N Garden Ave
Ste 100
Clearwater, FL 33755
Phone (727) 447-4647

205 N Garden Ave
Clearwater, FL 33755
Phone (727) 447-4647

131 N Garden Ave
#100
Clearwater, FL 33755
Phone (813) 447-4647

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1831538040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N GARDEN AVE STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554124",
            "telephone_number": "727-447-4647",
            "fax_number": "727-443-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N GARDEN AVE STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554124",
            "telephone_number": "727-447-4647",
            "fax_number": "727-443-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCOE",
        "first_name": "JARED",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.