Individual provider Active NPI

Marc James Rogers, D.C.

  • Chiropractor
  • Largo, FL
National Provider Identifier
1104998020
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7860 Issued in FL
Practice address
800 E Bay Dr
Suite P
Largo, FL 33770-2532
Phone
(727) 581-2774
Fax
(727) 581-3199
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7860 FL Primary

Addresses

Primary practice location

800 E Bay Dr
Suite P
Largo, FL 33770-2532

Mailing address

405 Seminole Blvd
Largo, FL 33770-3620
Phone (727) 581-2774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000143 FL Practitioner - Chiropractic 2961673405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

405 Seminole Blvd
Largo, FL 33770-3620
Phone (727) 581-8774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7860FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Accident & Wellness Center Chiropractor CurrentSince May 1, 2000 Accepting new patients

Locations

800 East Bay Dr
Ste P
Largo, FL 33770
Phone (727) 581-2774

405 Seminole Blvd
Largo, FL 33770
Phone (727) 581-2774

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1104998020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703620",
            "telephone_number": "727-581-2774",
            "fax_number": "727-581-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BAY DR",
            "address_2": "SUITE P",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702532",
            "telephone_number": "727-581-2774",
            "fax_number": "727-581-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARC",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.