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
- Last updated
- Nov 12, 2019
- 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
Tumwater, WA 98512
Phone (360) 823-5588
1518 Bishop Rd SW
#11
Tumwater, WA 98512
Phone (360) 923-5588
1518 Bishop Rd SW
Bldg 11
Tumwater, WA 98512
Phone (360) 923-5588
1518 Bishop Rd SW
Ste 11
Tumwater, WA 98512
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.