Active NPI
Rogelio Gabriel Rodriguez, D.C.
- Rehabilitation Chiropractor
- Houston, TX
National Provider Identifier
1043369952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 8857
- Practice address
- 4602 Washington Ave Ste a
Houston, TX 77007-5434 - Phone
- (713) 457-5600
- Fax
- (713) 457-5501
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 8857 | TX | Primary |
| Occupational Health Chiropractor | 111NX0100X | 8857 | TX |
Addresses
Primary practice location
4602 Washington Ave Ste a
Houston, TX 77007-5434
Mailing address
4602 Washington Ave Ste a
Houston, TX 77007-5434
Phone (713) 457-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753014500 | Other | TX | EMPLOYER IDENTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guajardo & Rodriguez, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Houston, TX
- NPI 1124280110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1043369952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 WASHINGTON AVE STE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770075434",
"telephone_number": "713-457-5600",
"fax_number": "713-457-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 WASHINGTON AVE STE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770075434",
"telephone_number": "713-457-5600",
"fax_number": "713-457-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ROGELIO",
"middle_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "8857",
"primary": true
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "TX",
"license": "8857",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER IDENTIFICATION",
"identifier": "753014500",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.