Active NPI
Jeffrey Daniel Rogers, DIPL. AC.
- Acupuncturist
- Royal Oak, MI
National Provider Identifier
1356653265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12669
- Practice address
- 715 N Main St
Suite 101
Royal Oak, MI 48067-1822 - Phone
- (248) 259-3196
- Fax
- (248) 398-3247
- NPI assigned
- Jul 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12669 | MI | Primary |
Addresses
Primary practice location
715 N Main St
Suite 101
Royal Oak, MI 48067-1822
Mailing address
715 N Main St
Suite 101
Royal Oak, MI 48067-1822
Phone (248) 259-3196
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12669 | MI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1356653265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 N MAIN ST",
"address_2": "SUITE 101",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671822",
"telephone_number": "248-259-3196",
"fax_number": "248-398-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N MAIN ST",
"address_2": "SUITE 101",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671822",
"telephone_number": "248-259-3196",
"fax_number": "248-398-3247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "JEFFREY",
"middle_name": "DANIEL",
"credential": "DIPL. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MI",
"license": "12669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.