Roots Waco, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROOTS WACO, LLC

Practice address

601 Franklin Ave Apt 4E
Waco, TX 76701-2057

Phone

(254) 307-3113

NPI assigned

Jul 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. David Boman, D.C.NPI 1306098371

Title

Owner

Phone

(254) 307-3113

Specialties & licenses 1

Addresses

Other names 1

• Roots Waco-Chiropractic Nutrition Wellness, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• David Boman, DC, CFMP, OT/L, MBA

  • Nutrition Chiropractor
  • Waco, TX
  • NPI 1306098371
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1831741784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE APT 4E",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012057",
            "telephone_number": "254-307-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE APT 4E",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012057",
            "telephone_number": "254-307-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS WACO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "BOMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-307-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots Waco-Chiropractic Nutrition Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joycelyn Romero, CPM, LM
• Ronald J Swift MD PA
• Christina Ronje
• Morgan Rook
• Rooted & Nourished Psychotherapy, PLLC
• Denise Renee Roper, D.C.
• Harrison Roper Boyd Roper, MS, LPC
• Veronica D Rosalez, APRN, FNP-C
• Maydee Annette Rosario-Reglero, M.D.
• Jeffrey R Rosas, PTA

• Chiropractor in Waco, TX
• Providers in Waco, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.