Glenda Ruth Rose, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X002901 Issued in NY

Practice address

435 Ridge St
Lewiston, NY 14092-1205

Phone

(716) 754-9039

Fax

(716) 754-9064

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Glenda Rose Barba Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Rose Chiropractic, P.C.Group PAC ID 4688859093, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rose Chiropractic, P.C.

  • Chiropractor
  • Lewiston, NY
  • NPI 1912200106
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962549014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 RIDGE ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921205",
            "telephone_number": "716-754-9039",
            "fax_number": "716-754-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 RIDGE ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921205",
            "telephone_number": "716-754-9039",
            "fax_number": "716-754-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "GLENDA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C02901-9",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENDA",
            "last_name": "BARBA",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joy Elizabeth Rock, LMSW
• Janelle Rohring
• Loren N Romano, OTR
• Andrea Marie Rosati, NP
• Rose Chiropractic, P.C.
• Ruotsi and Bertolino, MD PC
• Jennifer Cathleen Russell, NP
• Philip M Sauvageau, M.D.
• Sandra Sauvageau, N.P.
• Laura J Schiavi, R.N.

• Chiropractor in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.