NPIMap

Organization Active NPI

Rody Chiropractic Clinic Inc.

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1255500351
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RODY CHIROPRACTIC CLINIC INC.
Practice address
10614 Canyon Rd E
Puyallup, WA 98373-4257
Phone
(253) 535-6006
Fax
(253) 535-6226
NPI assigned
Feb 22, 2008
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Mr. Gordon Michael Rody, D.CNPI 1124116389
Title
Clinic Director and Owner
Phone
(253) 535-6006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WA Primary

Addresses

Primary practice location

10614 Canyon Rd E
Puyallup, WA 98373-4257

Mailing address

10614 Canyon Rd E
Puyallup, WA 98373-4257
Phone (253) 535-6006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000781 WA Part B Supplier - Clinic/Group Practice 5890787543 Receives reassigned benefits from 6 practitioners
Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1255500351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734257",
            "telephone_number": "253-535-6006",
            "fax_number": "253-535-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734257",
            "telephone_number": "253-535-6006",
            "fax_number": "253-535-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODY CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "RODY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "253-535-6006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.