Nicholas David Rosen

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34411 Issued in CA

Practice address

409 Coffee Rd
Modesto, CA 95355-4915

Phone

(209) 527-5346

Fax

(209) 527-0124

NPI assigned

Jan 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Modesto Chiropractic Center, a Rosen Family Corp.

  • Chiropractor
  • Modesto, CA
  • NPI 1306058896

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1982168977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554915",
            "telephone_number": "209-527-5346",
            "fax_number": "209-527-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554915",
            "telephone_number": "209-527-5346",
            "fax_number": "209-527-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "NICHOLAS",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Frances Rose, REGISTERED NURSE
• Kayla Rose
• Paul Rose, DO
• Samantha Rose
• Roselia Ortega, Licensed Clinical Social Worker, Apc
• Ted D Rosen, D.C.
• Robert Rosenbaum
• Jenna Louise Rosendin
• Eldon Lang Rosenow, OD
• Jerold Rosenthal, M.F.T.

• All providers in Modesto, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.