Stacey Roth, DC
Pediatric Chiropractor · Moorhead, MN
Stacey Roth, DC is a pediatric chiropractor with a practice address in Moorhead, Minnesota, and NPI 1770849929, issued on Apr 2, 2012. Check the license (Minnesota 3114, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Stacey Roth
- Credential
- DC
- Primary taxonomy
- Pediatric Chiropractor 111NP0017X
- License number
- 3114 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1906 30TH Ave S, Moorhead, MN 56560
- Phone
- (218) 233-2517
- Enumerated
- Apr 2, 2012
- Record last updated
- Apr 2, 2012 (not updated in 14 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20121029000480); accepts Medicare assignment
- Medical or professional school
- Northwestern College Of Chiropractic, 1992
- Entity
- Type 1 · individual
8 nearest pediatric chiropractor records → All 13 in Minnesota → Look up another NPI →
Also registered at 1906 30TH Ave S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jason Roth, DCChiropractor1144326349
Verify Stacey Roth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 3114Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Roth Family Chiropractic IncMoorhead, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Stacey Roth among 13 pediatric chiropractor records in Minnesota
Stacey Roth, DC is one of 13 pediatric chiropractor records with a practice address in Minnesota. 23% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 31% of them.
- NPI issued2012 · 31% of these records are older, 46% newer
- In a Medicare fileYes · 23% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Record last updated2012 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 111NP0017X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Chiropractor providers in Minnesota
There are 13 pediatric chiropractor records in Minnesota.
All 13 in Minnesota → Every provider in Moorhead → Pediatric Chiropractor nationwide →
The 8 pediatric chiropractor records with the nearest ZIP codes
- Brenna DilleyBrooten, MN 563161356179956
- Jennifer Vine, D.C.Hancock, MN 562441083159131
- Sara Curell, D.C.Fulda, MN 561311447481601
- Laura Jonker, D.C.Duluth, MN 558121609054030
- Felicia Conner, D.C.,DICCPBloomington, MN 554311538257548
- Morgan Woods, D.C.Robbinsdale, MN 554221952675431
- Tara Carlson, D.C,Wayzata, MN 553911669866968
- Amber Trice, D.CSavage, MN 553781447555461
Common questions
What is Stacey Roth, DC's NPI number?
Stacey Roth, DC's National Provider Identifier (NPI) is 1770849929, issued on Apr 2, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Stacey Roth, DC located?
The NPPES record lists a practice address at 1906 30TH Ave S, Moorhead, MN, 56560. Phone: (218) 233-2517. Providers update this record themselves, so call before visiting.
How can I verify Stacey Roth, DC's license?
NPPES lists Minnesota license number 3114, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.