Individual provider Active NPI

Roger Mark Learned, DC

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1932262888
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9877 Issued in FL
Practice address
147 E Granada Blvd
Ormond Beach, FL 32176-6663
Phone
(386) 265-5968
Fax
(386) 265-5970
NPI assigned
Dec 19, 2006
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9877 FL Primary
Chiropractor 111N00000X 6079 AZ
Physical Therapist 225100000X 3667 AZ

Addresses

Primary practice location

147 E Granada Blvd
Ormond Beach, FL 32176-6663

Mailing address

147 E Granada Blvd
Ormond Beach, FL 32176-6663
Phone (386) 265-5968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000109 FL Practitioner - Chiropractic 8426037466 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Ormonds Family Chiropractic CenterGroup PAC ID 9133261860, 2 clinicians
Yourchiro NSBGroup PAC ID 2567703309, 2 clinicians

Practice addresses (Care Compare)

147 E Granada Blvd
Ormond Beach, FL 32176-6663
Phone (386) 265-5968

1970 State Rd
Suite 44
New Smyrna, FL 32168-8349
Phone (386) 410-4557

250 Palm Coast Pkwy NE
Unit 504
Palm Coast, FL 32137-8288
Phone (480) 216-2361

3859 S Nova Rd
Port Orange, FL 32127-4950
Phone (386) 492-7075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9877FLMDChiropractor
6079AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yourchiro PO LLC Chiropractor CurrentSince Sep 15, 2022 Accepting new patients
Yourchiro NSB Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
Ormonds Family Chiropractic Center Chiropractor CurrentSince Apr 30, 2003 Accepting new patients
Learned Family Chiropractic PLLC Chiropractor Past Accepting new patients
Az Family Chiropractic LLC Chiropractor PastSince Dec 14, 2006 Accepting new patients
Richard a Franks DC,PC Chiropractor Past Accepting new patients
Ryken Inc Chiropractor Past Accepting new patients

Locations

1970 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 410-4557

147 E Granada Blvd
Ormond Beach, FL 32176
Phone (386) 265-5968

3859 S Nova Rd
Port Orange, FL 32127
Phone (386) 492-7075

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1932262888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766663",
            "telephone_number": "386-265-5968",
            "fax_number": "386-265-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766663",
            "telephone_number": "386-265-5968",
            "fax_number": "386-265-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARNED",
        "first_name": "ROGER",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9877",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6079",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.