Active NPI
R Douglas Rhodes, DC
- Chiropractor
- Roseville, CA
National Provider Identifier
1215004676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC017968
- Practice address
- 100 S Harding Blvd
Ste 3
Roseville, CA 95678 - Phone
- (916) 783-2000
- Fax
- (916) 783-2015
- NPI assigned
- Nov 29, 2006
- 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 | DC017968 | CA | Primary |
Addresses
Primary practice location
100 S Harding Blvd
Ste 3
Roseville, CA 95678
Mailing address
100 S Harding Blvd
Ste 3
Roseville, CA 95678
Phone (916) 783-2000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC017968 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1215004676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S HARDING BLVD",
"address_2": "STE 3",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95678",
"telephone_number": "916-783-2000",
"fax_number": "916-783-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S HARDING BLVD",
"address_2": "STE 3",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95678",
"telephone_number": "916-783-2000",
"fax_number": "916-783-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "R DOUGLAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC017968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.