Rose Chiropractic Corporation, a Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROSE CHIROPRACTIC CORPORATION, A PROFESSIONAL CORPORATION

Practice address

2635 Camino del Rio S Ste 301
San Diego, CA 92108-3729

Phone

(619) 818-4306

Fax

(619) 828-1030

NPI assigned

Jan 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Rose, DCNPI 1760762587

Title

President

Phone

(619) 818-4306

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Kevin Rose, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1760762587
  Medicare reassignment Care Compare group NPD Authorized official
• Travis Scott Rose, D.C.

  • Sports Physician Chiropractor
  • San Diego, CA
  • NPI 1386087716
  Medicare reassignment Care Compare group NPD
• Anne Boyd, L.AC.

  • Acupuncturist
  • San Diego, CA
  • NPI 1144676586
  NPD
• Heidi Rose Fearon, L.AC.

  • Acupuncturist
  • San Diego, CA
  • NPI 1659504017
  NPD (past)

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1902360506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 CAMINO DEL RIO S STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083729",
            "telephone_number": "619-818-4306",
            "fax_number": "619-828-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 CAMINO DEL RIO S STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083729",
            "telephone_number": "619-818-4306",
            "fax_number": "619-828-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CHIROPRACTIC CORPORATION, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-818-4306",
        "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": []
}

• Benjamin Thomas Rosauer
• Walter Thomas Roschek III
• Jason Louis Roschevitz, LMFT
• Lori Roscoe, APRN
• Rose Chiropractic
• Shira Rose-Levy
• Aaron Rose
• Alyssa Rose
• Andrea Nicole Rose, LCSW
• Andrea Pape Rose, L.C.S.W.

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.