Active NPI
Anthony Rodriguez, D.C.
- Chiropractor
- Tumwater, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60136257
- Practice address
- 1518 Bishop Rd SW # 11
Tumwater, WA 98512-7354 - Phone
- (360) 923-5588
- Fax
- (360) 915-9815
- NPI assigned
- Feb 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60136257 | WA | Primary |
Addresses
Primary practice location
1518 Bishop Rd SW # 11
Tumwater, WA 98512-7354
Mailing address
1060 Hudson St
Longview, WA 98632-3103
Phone (360) 423-2037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120912000821 | WA | Practitioner - Chiropractic | 3678721859 | Practice locations: Longview, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1518 Bishop Rd SW
Tumwater, WA 98512-7354
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5547 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Rodriguez DC PLLC | Chiropractor | Current | Accepting new patients |
Locations
1518 Bishop Rd SW
Bldg 11
Tumwater, WA 98512
Phone (360) 923-5588
1518 Bishop Rd SW
Ste 11
Tumwater, WA 98512
1518 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 823-5588
1518 Bishop Rd SW
#11
Tumwater, WA 98512
Phone (360) 923-5588
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.
-
- Chiropractor
- Tumwater, WA
- NPI 1699242982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1124340419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 HUDSON ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323103",
"telephone_number": "360-423-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 BISHOP RD SW # 11",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985127354",
"telephone_number": "360-923-5588",
"fax_number": "360-915-9815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ANTHONY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-27",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60136257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.