JUSTIN ROTH - NPI 1104065515 - Chiropractor in Kensington, CT

Q: What is Justin Roth's NPI number?

The NPI number for Justin Roth is 1104065515. It was assigned to this individual provider in the NPPES registry on February 9, 2009.

Q: What is Justin Roth's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Roth was last updated on September 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Justin Roth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN ROTH (NPI 1104065515) is an individual chiropractor in Kensington, Connecticut, licensed in Connecticut (001773) and active in the NPI registry since February 2009. He is a graduate of Palmer College Chiropractic - Davenport (2008).

NPPES Registry Identity

NPI1104065515

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJUSTIN ROTH

Location Address355 NEW BRITAIN RDKensington, CT 06037-1318

Mailing Address355 New Britain RdKensington, CT 06037-1318 · (860) 505-7278 · Fax (860) 505-8145

Phone(860) 324-2767

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2008

Enumeration DateFebruary 9, 2009

Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1104065515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CT · 001773

Definition

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.

355 NEW BRITAIN RD, Kensington, CT 06037

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Roth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193969236

PECOS Enrollment IDI20130911000722

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

130 services13 patients