Organization Active NPI

Richard L. Rodgers II DC Inc

  • Chiropractor
  • Mount Vernon, OH
National Provider Identifier
1124293758
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2911 Issued in OH
Legal business name
RICHARD L. RODGERS II DC INC
Practice address
812 Coshocton Ave
BLDG 2 Ste 1
Mount Vernon, OH 43050-1947
Phone
(740) 397-7246
Fax
(740) 392-3082
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Richard L RodgersNPI 1821124066
Title
Owner
Phone
(740) 397-7246

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2911 OH Primary

Addresses

Primary practice location

812 Coshocton Ave
BLDG 2 Ste 1
Mount Vernon, OH 43050-1947

Mailing address

812 Coshocton Ave
BLDG 2 Ste 1
Mount Vernon, OH 43050-1947
Phone (740) 397-7246

Other identifiers 1

IdentifierTypeStateIssuer
2194549MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1124293758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 COSHOCTON AVE",
            "address_2": "BLDG 2 STE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501947",
            "telephone_number": "740-397-7246",
            "fax_number": "740-392-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 COSHOCTON AVE",
            "address_2": "BLDG 2 STE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501947",
            "telephone_number": "740-397-7246",
            "fax_number": "740-392-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. RODGERS II DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-397-7246"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.