Individual provider Active NPI

Elizabeth Jane Rhodes, DC

  • Chiropractor
  • Rogers, AR
National Provider Identifier
1063483766
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AR 1330 Issued in AR
Practice address
500 N Dixieland Rd
Suite 4
Rogers, AR 72756-3212
Phone
(479) 636-1108
Fax
(479) 636-1148
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AR 1330 AR Primary

Addresses

Primary practice location

500 N Dixieland Rd
Suite 4
Rogers, AR 72756-3212

Mailing address

500 N Dixieland Rd
Suite 4
Rogers, AR 72756-3212
Phone (479) 636-1108

Other identifiers 1

IdentifierTypeStateIssuer
185316718MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220001067 AR Practitioner - ChiropracticPractitioner - Pediatric Medicine 9032307996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Pediatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2502 W Olive St
Rogers, AR 72756-3170
Phone (479) 636-1108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Back to Health Chiropractic Chiropractor CurrentSince Jul 27, 2010 Accepting new patients
Rogers Back to Health Chiropractic Past Accepting new patients

Locations

2502 W Olive St
Rogers, AR 72756
Phone (479) 445-3873

500 N Dixieland Rd
Ste 4
Rogers, AR 72756
Phone (479) 636-1108

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1063483766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N DIXIELAND RD",
            "address_2": "SUITE 4",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563212",
            "telephone_number": "479-636-1108",
            "fax_number": "479-636-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N DIXIELAND RD",
            "address_2": "SUITE 4",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563212",
            "telephone_number": "479-636-1108",
            "fax_number": "479-636-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "AR 1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185316718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.