DR KEVIN ROACH DC LLC (NPI# 1134390404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134390404 |
| Entity Type | Organization |
| Organization Name | DR KEVIN ROACH DC LLC |
| Practice Address |
102 E Booneslick Rd Warrenton MO 63383-2004 |
| Practice Telephone | 6364561861 |
| Mailing Telephone | 6364561861 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | DR. KEVIN M ROACH (OWNER) |
| Authorized Official Telephone | 3142290769 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
102 E BOONESLICK RD |
| City | WARRENTON |
| State | MO |
| Zip Code | 63383-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679612063 | Cindy Louise Graham | Massage Therapist | 102 E Booneslick Rd, Warrenton, MO 63383-2004 | 2007-02-05 |
| 1457680548 | N-motion Wellness LLC | Chiropractor | 102 E Booneslick Rd, Warrenton, MO 63383-2004 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544861 | Amanda Rae Miller | Pharmacist | 701 North Highway 47, Warrenton, MO 63383 | 2020-09-28 |
| 1255837647 | Amanda Jean Hite | Physical Therapy Assistant | 1 Town and Country Marketplace, Warrenton, MO 63383 | 2018-04-04 |
| 1295260818 | Legacy Drugstore 2, LLC | Pharmacy | 609 State Highway 47, Suite B, Warrenton, MO 63383 | 2017-04-21 |
| 1295281517 | Harbor Place Estates, LLC | Assisted Living Facility | 1054 S State Highway 47, Warrenton, MO 63383 | 2016-08-28 |
| 1811350630 | Megan Moore | Physical Therapist | 772 N. Hwy 47, Suite A, Warrenton, MO 63383 | 2016-03-30 |
| 1598125353 | Lauren Schumacher | Physical Therapist | 722 N. Highway 47, Suite A, Warrenton, MO 63383 | 2016-03-07 |
| 1427374230 | Our Urgent Care, LLC | Clinic/Center | 1343 North East Service Rd, Warrenton, MO 63383 | 2010-04-19 |
| 1235397183 | Paul J Dooley Dds PC | Dentist | 708 Steinhagen, Warrenton, MO 63383 | 2008-05-28 |
| 1699975995 | Joshua Douglas Sharp | Chiropractor | 704 North State Hwy 47, Warrenton, MO 63383 | 2007-07-24 |
| 1083827075 | Thomas William Cox | Physical Therapy Assistant | 65 State Hwy. Aa, Warrenton, MO 63383 | 2007-05-07 |
| Find all providers in zip 63383 | ||||
| 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 |
|---|---|---|---|---|
| 1811444730 | Kenneth Patrick May | Chiropractor | 493 Blackwell Rd Ste 117, Warrenton, VA 20186-2628 | 2016-09-08 |
| 1942583711 | Jesse Owen Brockey | Chiropractor | 679 E Harbor Dr, # 140, Warrenton, OR 97146-9717 | 2011-09-27 |
| 1760791511 | Daniel L Roach | Chiropractor | 704 N State Highway 47, Warrenton, MO 63383-1108 | 2010-09-28 |
| 1376723312 | Douglas Smith, PC | Chiropractor | 332 W Lee Hwy, Warrenton, VA 20186-2428 | 2007-11-07 |
| 1699975995 | Joshua Douglas Sharp | Chiropractor | 704 North State Hwy 47, Warrenton, MO 63383 | 2007-07-24 |
| 1285857839 | Douglas Brian Smith Jr. | Chiropractor | 225 Oak Springs Drive, Suite 101, Warrenton, VA 20186-2428 | 2007-04-11 |
| 1912024597 | Brian K Osmonson | Chiropractor | 113 W Booneslick Rd, Warrenton, MO 63383-1912 | 2007-03-26 |
| 1497871065 | Adam Lopez Dc, PC | Chiropractor | 679 E Harbor St Ste 140, Warrenton, OR 97146-9717 | 2007-03-22 |
| 1417088535 | Stephen D Johnson | Chiropractor | 679 E Harbor St, Suite 140, Warrenton, OR 97146-9717 | 2007-03-08 |
| 1730253659 | Ginger L Sharp | Chiropractor | 810 E Highway M, Warrenton, MO 63383-2215 | 2006-11-20 |
| Find all providers in WARRENTON | ||||
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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.