Resilient Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RESILIENT CLINIC LLC

Practice address

21450 Highway 32 Ste a
Sainte Genevieve, MO 63670-8814

Phone

(573) 535-1912

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin N Roth, DCNPI 1699397687

Title

Founder

Phone

(573) 535-1912

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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, and the practitioner matching its NPPES authorized official.

• Justin Nicholas Roth, DC

  • Chiropractor
  • Ste Genevieve, MO
  • NPI 1699397687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1851919203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21450 HIGHWAY 32 STE A",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708814",
            "telephone_number": "573-535-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21450 HIGHWAY 32 STE A",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708814",
            "telephone_number": "573-535-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "573-535-1912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontoffice@resilientclinic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21450 Highway 32 Ste A",
            "city": "Sainte Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636708814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Marie Przybylski, CCC-SLP
• Rainbow Kids Pediatrics
• Niranjana Raju, MD
• Kim R Reef, COTA
• Ashley Regelsperger
• Riverview at the Park, Inc (Riverview at the Park Care and Rehabilitaion Cent)
• Sarah Robinson, PHARMD
• Justin Nicholas Roth, DC
• Maria S Rottler, PT
• Mary Clare Rozier, OTR-L

• Chiropractor in Ste Genevieve, MO
• Providers in Ste Genevieve, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.