DR. STACEY ROTH DC
NPI 1770849929
Chiropractor - Pediatric Chiropractor in Moorhead, MN

Active since April 02, 2012Accepts Medicare Assignment
1906 30TH AVE S, MOORHEAD, MN 56560(218) 233-2517 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stacey Roth Dc NPPES

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

DR. STACEY ROTH DC (NPI 1770849929) is an individual pediatric chiropractor in Moorhead, Minnesota, licensed in Minnesota (3114) and active in the NPI registry since April 2012. She is a graduate of Northwestern College Of Chiropractic (1992).

NPPES Registry Identity

NPI1770849929
Entity TypeIndividualFemale
Primary Taxonomy111NP0017X
Provider Legal NameDR. STACEY ROTHCredential: DC
Location Address1906 30TH AVE SMoorhead, MN 56560-5210
Mailing Address1906 30th Ave SMoorhead, MN 56560-5210 · (218) 233-2517
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 1992
Enumeration DateApril 2, 2012
NPI 1770849929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · Pediatric ChiropractorChiropractic Providers
Taxonomy Code111NP0017X
License Licensed in MN · 3114
Definition
The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.
1906 30TH AVE S, Moorhead, MN 56560

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stacey Roth Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991955973
PECOS Enrollment IDI20121029000480

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.
705 services18 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1906 30TH AVE S
MOORHEAD, MN 56560

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 Stacey Roth's NPI number?

The NPI number for Stacey Roth is 1770849929. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Stacey Roth located?

Stacey Roth practices at 1906 30th Ave S, Moorhead, MN 56560. The listed phone number is (218) 233-2517.

What is Stacey Roth's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Pediatric Chiropractor, with taxonomy code 111NP0017X.

Is Stacey Roth enrolled in Medicare?

Yes. Stacey Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Roth accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Stacey Roth 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 Stacey Roth was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.