Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Nicole Roth, DC

Individual provider Pediatric Chiropractor · NPI 1336843564

Jessica Nicole Roth, DC is a Pediatric Chiropractor in Wayzata, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

600 Twelve Oaks Center Dr Ste 640
Wayzata, MN 55391-4502
Phone: (952) 378-1085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 7099 (MN)
Pediatric Chiropractor Taxonomy 111NP0017X · Licence 7099 (MN)

Record details

NPI number1336843564
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESMay 20, 2023
Certification dateMay 20, 2023

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