Organization Active NPI

Gordon L. Rodetsky

  • Chiropractor
  • Punta Gorda, FL
National Provider Identifier
1326071143
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GORDON L. RODETSKY
Practice address
2705 Tamiami TRL Unit 215
Punta Gorda, FL 33950-6988
Phone
(941) 833-2600
Fax
(941) 833-2603
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Gordon L Rodetsky, D.C.
Title
Owner/ Physician
Phone
(941) 833-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2705 Tamiami TRL Unit 215
Punta Gorda, FL 33950-6988

Mailing address

2705 Tamiami TRL
Suite 215
Punta Gorda, FL 33950-6987
Phone (941) 833-2600

Other identifiers 1

IdentifierTypeStateIssuer
98979OtherFLBCBSF

National Provider Directory

National Provider Directory

Locations

2705 Tamiami Trl
Unit 215
Punta Gorda, FL 33950
Phone (941) 833-2600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1326071143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 TAMIAMI TRL",
            "address_2": "SUITE 215",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339506987",
            "telephone_number": "941-833-2600",
            "fax_number": "941-833-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 TAMIAMI TRL UNIT 215",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339506988",
            "telephone_number": "941-833-2600",
            "fax_number": "941-833-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON L. RODETSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "RODETSKY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "941-833-2600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "98979",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.