Rhodes Chiropractic PC

Organization Active NPI Chiropractor · Davis, OK

NPI 1104915438 · NPPES record last updated Oct 6, 2011

Key facts

NPI
1104915438
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
2669 (OK)
Legal business name
RHODES CHIROPRACTIC PC
Practice address
109 W Main St
Suite C
Davis, OK 73030-1775
Phone
(580) 369-3600
Fax
(580) 369-3728
NPI assigned
Oct 12, 2006
Organization subpart
No

Authorized official

Name
Dr. James P Rhodes II, DC NPI 1164430336
Title
Owner/Doctor
Phone
(580) 369-3600

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060119000228 OK Part B Supplier - Clinic/Group Practice 5294759049 Receives reassigned benefits from 1 practitioner
Practice locations: Davis, OK

National Provider Directory

Locations

113 W Main St
Ste C
Davis, OK 73030
Phone (580) 369-2325

109 W Main St
Ste C
Davis, OK 73030
Phone (580) 369-3600

502 E Main St
Davis, OK 73030
Phone (580) 369-3600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 2669 OK Yes

Addresses

Primary practice location

109 W Main St
Suite C
Davis, OK 73030-1775

Mailing address

109 W Main St
Suite C
Davis, OK 73030-1775
Phone (580) 369-3600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 6, 2011.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1104915438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "address_2": "SUITE C",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730301775",
            "telephone_number": "580-369-3600",
            "fax_number": "580-369-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "address_2": "SUITE C",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730301775",
            "telephone_number": "580-369-3600",
            "fax_number": "580-369-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODES CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "580-369-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, OK

All providers in Davis, OK · Chiropractor in Oklahoma

Sources for this page

Verify at the official NPI Registry.