Individual provider Active NPI

Edward Wesley Rodgers Jr., DC

  • Chiropractor
  • Chico, CA
National Provider Identifier
1285689323
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25612 Issued in CA
Practice address
2954 Highway 32 Ste 500
Chico, CA 95973-8671
Phone
(530) 343-9826
Fax
(530) 343-9827
NPI assigned
May 24, 2006
Last updated
Jun 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25612 CA Primary

Addresses

Primary practice location

2954 Highway 32 Ste 500
Chico, CA 95973-8671

Mailing address

2954 Highway 32 Ste 500
Chico, CA 95973-8671
Phone (530) 343-9826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000703 CA Practitioner - Chiropractic 2264519669 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2954 State Hwy 32
Suite 600
Chico, CA 95973-8671
Phone (530) 343-9826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25612CAMDClinical Psychologist
DC25612CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1285689323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 HIGHWAY 32 STE 500",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959738671",
            "telephone_number": "530-343-9826",
            "fax_number": "530-343-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 HIGHWAY 32 STE 500",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959738671",
            "telephone_number": "530-343-9826",
            "fax_number": "530-343-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "EDWARD",
        "middle_name": "WESLEY",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.