Individual provider Active NPI

Roland Rodriguez, DC

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1033688916
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12523 Issued in FL
Practice address
4020 Newberry Rd Ste 200
Gainesville, FL 32607-2386
Phone
(352) 215-1942
Fax
(386) 200-5812
NPI assigned
Nov 20, 2018
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12523 FL Primary

Addresses

Primary practice location

4020 Newberry Rd Ste 200
Gainesville, FL 32607-2386

Mailing address

4020 Newberry Rd Ste 200
Gainesville, FL 32607-2386
Phone (352) 215-1942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321000353 FL Practitioner - Chiropractic 8325388788 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12523FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Gainesville Inc Chiropractor CurrentSince Jan 3, 2019 Accepting new patients
R & R Spine and Wellness Center LLC Chiropractor CurrentSince Dec 31, 2023 Accepting new patients

Locations

3703 SW 13th St
Gainesville, FL 32608
Phone (352) 372-4110

4020 Newberry Rd
Ste 200
Gainesville, FL 32607
Phone (352) 215-1942

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1033688916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 NEWBERRY RD STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072386",
            "telephone_number": "352-215-1942",
            "fax_number": "386-200-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 NEWBERRY RD STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072386",
            "telephone_number": "352-215-1942",
            "fax_number": "386-200-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROLAND",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.