Damien Jude Rodulfo, DC, CCSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3242 Issued in NC

Practice address

2105 W Cornwallis Dr Ste C
A
Greensboro, NC 27408-7098

Phone

(336) 235-4530

Fax

(336) 235-0754

NPI assigned

Nov 15, 2005

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rodulfo Chiropractic PLLCGroup PAC ID 9032113899, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rodulfo Chiropractic PLLC

  dba Healing Hands Chiropractic

  • Sports Physician Chiropractor
  • Greensboro, NC
  • NPI 1649298217
  Medicare reassignment Care Compare group NPD Authorized official
• Ignite Physical Therapy

  • Physical Therapist
  • Greensboro, NC
  • NPI 1043082720
  NPD
• Gys Chiro Inc

  dba Salama Chiropractic Center

  • Chiropractor
  • Greensboro, NC
  • NPI 1518949783
  NPD (past)
• Rodulfo Chiropractic PLLC

  • Physical Medicine & Rehabilitation Physician
  • Greensboro, NC
  • NPI 1093320293
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1407838675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W CORNWALLIS DR STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087098",
            "telephone_number": "336-235-4530",
            "fax_number": "336-235-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W CORNWALLIS DR STE C",
            "address_2": "A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087098",
            "telephone_number": "336-235-4530",
            "fax_number": "336-235-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODULFO",
        "first_name": "DAMIEN",
        "middle_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "3242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "085UR",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085UR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Migdalia Rodriguez
• Sarah Rodriguez
• Yasmin Rodriguez
• Rodulfo Chiropractic PLLC
• Rodulfo Chiropractic PLLC (Healing Hands Chiropractic)
• Naimah Roebuck Sakho
• Sarah Louise Roethlinger, MA, LPCA
• Susanne Elizabeth Roever, LCMHCA
• Angela Stevens Rogers
• Betty Ritz Rogers, R. N.

• Sports Physician Chiropractor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.