ROTH CHIROPRACTIC PLLC
NPI 1710280490
Chiropractor in Minneapolis, MN

Active since December 17, 2010
315 SE MAIN ST APT 412, MINNEAPOLIS, MN 55414(612) 916-3506 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2018, Feb 23, 2018 (2 updates tracked since 2018).

About Roth Chiropractic Pllc NPPES

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

ROTH CHIROPRACTIC PLLC (NPI 1710280490), doing business as Roth Chiropractic Sc, is a healthcare organization registered as a chiropractor in Minneapolis, Minnesota and active in the NPI registry since December 2010. The organization lists James Arthur Tacyshyn-roth, Dr./owner, as its authorized official.

NPPES Registry Identity

NPI1710280490
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameROTH CHIROPRACTIC PLLC
Location Address315 SE MAIN ST APT 412Minneapolis, MN 55414-4222
Mailing Address315 Se Main St Apt 412Minneapolis, MN 55414-4222
Organization SubpartNo
Authorized OfficialJames Arthur Tacyshyn-rothDr./owner · (612) 916-3506
Enumeration DateDecember 17, 2010
Last NPPES UpdateMarch 7, 20182 updates tracked since enumeration
✔ NPI 1710280490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · WI2869
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.
315 SE MAIN ST APT 412, Minneapolis, MN 55414

Other Names 1

Former Legal Business NameRoth Chiropractic Sc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roth Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1972515070
6508 W LINCOLN AVE
West Allis, WI 53219
(414) 810-0009
✔ Accepts Medicare296 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roth Chiropractic PLLC's NPI number?

The NPI number for Roth Chiropractic PLLC is 1710280490. It was assigned to this organization in the NPPES registry on December 17, 2010. The provider was formerly known as Roth Chiropractic Sc.

Where is Roth Chiropractic PLLC located?

Roth Chiropractic PLLC is located at 315 SE Main St Apt 412, Minneapolis, MN 55414. The listed phone number is (612) 916-3506.

What is Roth Chiropractic PLLC's specialty?

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

Is Roth Chiropractic PLLC enrolled in Medicare?

Yes. Roth Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roth Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Roth Chiropractic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Roth Chiropractic PLLC accept?

Health plans from HealthPartners list Roth Chiropractic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roth Chiropractic PLLC was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.