Individual provider Active NPI

Taylor Rodriguez, DC

  • Chiropractor
  • Lakewood, CO
National Provider Identifier
1306415260
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008252 Issued in CO
Practice address
7625 W 5TH Ave Ste 215D
Lakewood, CO 80226-1453
Phone
(208) 761-1073
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHR.0008252 CO Primary

Addresses

Primary practice location

7625 W 5TH Ave Ste 215D
Lakewood, CO 80226-1453

Mailing address

7625 W 5TH Ave Ste 215D
Lakewood, CO 80226-1453
Phone (208) 761-1073

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL soulservicechiropractic@gmail.com

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
CHR.0008252COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1306415260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 W 5TH AVE STE 215D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261453",
            "telephone_number": "208-761-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 W 5TH AVE STE 215D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261453",
            "telephone_number": "208-761-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "TAYLOR",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "soulservicechiropractic@gmail.com",
            "affiliation": "N",
            "address_1": "7625 W 5th Ave Ste 215D",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802261453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.