Individual provider Active NPI

Edgard A Rodriguez, DC,BS

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1285543918
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH16093 Issued in FL
Practice address
1650 SE 17TH St Ste 103
Fort Lauderdale, FL 33316-1735
Phone
(954) 368-5483
NPI assigned
Sep 7, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH16093 FL Primary

Addresses

Primary practice location

1650 SE 17TH St Ste 103
Fort Lauderdale, FL 33316-1735

Mailing address

1650 SE 17TH St Ste 103
Fort Lauderdale, FL 33316-1735
Phone (954) 368-5483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1285543918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SE 17TH ST STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161735",
            "telephone_number": "954-368-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SE 17TH ST STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161735",
            "telephone_number": "954-368-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDGARD",
        "middle_name": "A",
        "credential": "DC,BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH16093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.