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Dr. Justin Stephan Roth, D.O.

Pediatric Orthopaedic Surgery Physician in Meridian, ID · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306109954

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Registry record

Entity type Individual (Type 1)
Name Dr. Justin Stephan Roth
Credential D.O.
Sex Male
Practice address 3399 E Louise Dr Ste 200, Meridian, ID, 83642
Enumeration date Jun 19, 2012
Last updated in NPPES Jul 28, 2023

Taxonomy & licenses

207XP3100X Pediatric Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License O-1847 (ID) Primary
207XP3100X Pediatric Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 187405 (OR) Secondary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
500746847 Medicaid OR -
187405 Other OR OREGON MEDICAL BOARD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Justin Roth?
The National Provider Identifier (NPI) for Justin Roth is 1306109954, a Type 1 (individual) record in the CMS NPPES registry.
Where does Justin Roth practice?
The practice location on file with NPPES is in Meridian, ID. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-28.