Individual provider Active NPI

Rodney Sanchez-Rosa, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1255832101
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5869 Issued in OR
Practice address
3933 NE Martin Luther King Jr Blvd Ste 101
Portland, OR 97212-1154
Phone
(503) 481-3369
NPI assigned
Feb 26, 2018
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5869 OR Primary

Addresses

Primary practice location

3933 NE Martin Luther King Jr Blvd Ste 101
Portland, OR 97212-1154

Mailing address

3933 NE Martin Luther King Jr Blvd Ste 101
Portland, OR 97212-1154
Phone (503) 481-3369

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

LicenseStateTypeSpecialty
5869ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Keanu Chiropractic LLC Chiropractor Current Accepting new patients
Tu Casa Chiropractic LLC Chiropractor CurrentSince Mar 5, 2023 Accepting new patients

Locations

3933 NE Martin Luther King Jr Blvd
Ste 101
Portland, OR 97212
Phone (503) 481-3369

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.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1255832101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 NE MARTIN LUTHER KING JR BLVD STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121154",
            "telephone_number": "503-481-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 NE MARTIN LUTHER KING JR BLVD STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121154",
            "telephone_number": "503-481-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-ROSA",
        "first_name": "RODNEY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.