John David Rogers

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

JOHN DAVID ROGERS

Doing business as

Kinetic Health Care

Practice address

2200 Grand Central Ave
Suite 105
Vienna, WV 26105-1300

Phone

(304) 295-6041

Fax

(304) 295-6182

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John D Rogers

Title

Owner

Phone

(304) 926-0870

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kinetic Health Care Doing business as

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376621540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252710638",
            "telephone_number": "304-926-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRAND CENTRAL AVE",
            "address_2": "SUITE 105",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051300",
            "telephone_number": "304-295-6041",
            "fax_number": "304-295-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DAVID ROGERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-926-0870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001815473",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027096",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147774001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetic Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Jackson
• Jayda Marie James
• Betty Jarvis
• Jebediah S Christy, D.D.S. - Vienna, PLLC
• Lori Jenkins
• Karen Johnson
• Curtis Jones
• Emily Marie Jones, BS
• Taylor Jones
• Wendy J Jones, BS

• Oxygen Equipment & Supplies (DME) in Vienna, WV
• Providers in Vienna, WV by specialty
• Oxygen Equipment & Supplies (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.