ROTH FAMILY CHIROPRACTIC INC. (NPI# 1104018373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104018373 |
| Entity Type | Organization |
| Organization Name | ROTH FAMILY CHIROPRACTIC INC. |
| Practice Address |
1906 30th Ave South Moorhead MN 56560 |
| Practice Telephone | 2182332517 |
| Practice Fax Number | 2182336737 |
| Mailing Telephone | 2182332517 |
| Mailing Fax Number | 2182336737 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | DR. JASON D ROTH (OWNER) |
| Authorized Official Telephone | 2182332517 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 3114 | MN | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 3113 | MN | Chiropractic Providers |
| Street Address |
1906 30TH AVE SOUTH |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817883 | Melissas Group | Chiropractor | 3203 22nd St S, Moorhead, MN 56560-5307 | 2019-12-06 |
| 1306268586 | Jace Foss | Chiropractor | 2921 S Frontage Rd, Suite 3, Moorhead, MN 56560-2571 | 2014-01-07 |
| 1689991416 | Matthew Douglas Lau | Chiropractor | 420 Center Ave Ste 48, Moorhead, MN 56560-1962 | 2010-05-04 |
| 1427248020 | Riverview Chiropractic Clinic Pa | Chiropractor | 3505 8th St S Ste 6, Moorhead, MN 56560-5108 | 2007-07-30 |
| 1699832600 | Jeffrey Lotzer | Chiropractor | 213 7th St S, Moorhead, MN 56560-2740 | 2007-01-02 |
| 1144381187 | Lau-gilbertson Chiropractic Clinic Pa | Chiropractor | 420 Center Avenue, Suite 48, Moorhead, MN 56560 | 2006-12-13 |
| 1962509166 | Midthune Chiropractic Pa | Chiropractor | 819 30th Ave S, Suite 102, Moorhead, MN 56560-5005 | 2006-09-20 |
| 1093813677 | Gregg Morlock | Chiropractor | 1602 30th Ave. S., Moorhead, MN 56560 | 2006-09-20 |
| 1144326349 | Jason D Roth | Chiropractor | 1906 30th Ave S, Moorhead, MN 56560-5210 | 2006-09-15 |
| 1972608511 | Paul Leslie Shogren | Chiropractor | 2921 S Frontage Rd Ste 3, Moorhead, MN 56560-2571 | 2006-09-14 |
| Find all providers in MOORHEAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.