Individual provider Active NPI

Robin Jacobs-Rodriguez, D.C.

  • Chiropractor
  • Pearland, TX
National Provider Identifier
1295816882
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8140 Issued in TX
Practice address
2514 Broadway St
Pearland, TX 77581-4904
Phone
(281) 485-8723
Fax
(281) 485-8724
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8140 TX Primary

Addresses

Primary practice location

2514 Broadway St
Pearland, TX 77581-4904

Mailing address

2514 Broadway St
Pearland, TX 77581-4904
Phone (281) 485-8723

Other identifiers 1

IdentifierTypeStateIssuer
0059NEOtherTXBLUE CROSS/BLUE SHIELD ID

Other names 1

  • Dr. Robin Jacobs-Rodriguez Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000767 TX Practitioner - Chiropractic 5698798981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2514 Broadway St
Pearland, TX 77581-4904
Phone (281) 485-8723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back Into Motion Chiropractic LLC Chiropractor CurrentSince Apr 21, 2011 Accepting new patients
Back Into Motion Chiropractic, LTD Chiropractor PastSince Jul 25, 2005 Accepting new patients

Locations

2514 Broadway St
Pearland, TX 77581
Phone (281) 485-8723

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1295816882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814904",
            "telephone_number": "281-485-8723",
            "fax_number": "281-485-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814904",
            "telephone_number": "281-485-8723",
            "fax_number": "281-485-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS-RODRIGUEZ",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "0059NE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "JACOBS-RODRIGUEZ",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.