Individual provider Active NPI

James P Rodowca, MSOM, LAC

  • Acupuncturist
  • Greenville, WI
National Provider Identifier
1336233287
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
361-055 Issued in WI
Practice address
W6905 Parkview Dr Ste a
Greenville, WI 54942-9099
Phone
(920) 757-9887
Fax
(920) 757-9875
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 361-055 WI Primary

Addresses

Primary practice location

W6905 Parkview Dr Ste a
Greenville, WI 54942-9099

Mailing address

W6905 Parkview Dr Ste a
Greenville, WI 54942-9099
Phone (920) 757-9887

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
361-055WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture One LLC Acupuncturist CurrentSince Mar 11, 2025 Accepting new patients

Locations

W6905 Parkview Dr
Ste A
Greenville, WI 54942
Phone (920) 757-9887

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336233287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6905 PARKVIEW DR STE A",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549429099",
            "telephone_number": "920-757-9887",
            "fax_number": "920-757-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6905 PARKVIEW DR STE A",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549429099",
            "telephone_number": "920-757-9887",
            "fax_number": "920-757-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODOWCA",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MSOM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "361-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.