Active NPI
Aniello Rodriguez, DC
- Chiropractor
- Lawrenceville, GA
National Provider Identifier
1205951423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO006997
- Practice address
- 860 Duluth Hwy
Suite 100
Lawrenceville, GA 30043-5326 - Phone
- (678) 205-8808
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | CHIRO006997 | GA | Primary |
Addresses
Primary practice location
860 Duluth Hwy
Suite 100
Lawrenceville, GA 30043-5326
Mailing address
1000 Peachtree Industrial Blvd # 6-306
Suwanee, GA 30024-6737
Phone (678) 205-8808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201464935 | Other | GA | TAX ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO006997 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Heathcare and Rehab Lawrenceville | Past | Accepting new patients | |
| Apex Healthcare and Rehab | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1962777235
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1508131871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1205951423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PEACHTREE INDUSTRIAL BLVD # 6-306",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246737",
"telephone_number": "678-205-8808",
"fax_number": "678-205-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 DULUTH HWY",
"address_2": "SUITE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435326",
"telephone_number": "678-205-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ANIELLO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO006997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "201464935",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.