Individual provider Active NPI

Chase Prentiss Rogers, D.C.

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1245835461
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2670 Issued in AL
Practice address
9770 Highway 69 S Ste a
Tuscaloosa, AL 35405-8782
Phone
(205) 409-6333
NPI assigned
Dec 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2670 AL Primary

Addresses

Primary practice location

9770 Highway 69 S Ste a
Tuscaloosa, AL 35405-8782

Mailing address

9770 Highway 69 S Ste a
Tuscaloosa, AL 35405-8782
Phone (205) 409-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224000489 AL Practitioner - Chiropractic 2567877673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jrfreeman LLCGroup PAC ID 0547555922, 3 clinicians

Practice addresses (Care Compare)

9770 Hwy 69 S
Suite a
Tuscaloosa, AL 35405-8782
Phone (205) 409-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2670ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jrfreeman LLC Chiropractor CurrentSince Feb 12, 2021 Accepting new patients

Locations

9770 Highway 69 S
Ste A
Tuscaloosa, AL 35405
Phone (205) 239-0464

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1245835461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9770 HIGHWAY 69 S STE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058782",
            "telephone_number": "205-409-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9770 HIGHWAY 69 S STE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058782",
            "telephone_number": "205-409-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CHASE",
        "middle_name": "PRENTISS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.

Verify at the official NPI Registry.