Individual provider Active NPI

Alexander Henry Rodnick, D.C.

  • Chiropractor
  • Midland, MI
National Provider Identifier
1427286517
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009576 Issued in GA
Practice address
4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387
Phone
(989) 832-7535
Fax
(989) 832-1631
NPI assigned
Jun 26, 2009
Last updated
Jun 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009576 GA Primary

Addresses

Primary practice location

4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387

Mailing address

4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387
Phone (989) 832-7535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000626 MI Practitioner - Chiropractic 4284780214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triumph Chiropractic PLLCGroup PAC ID 4183925993, 2 clinicians

Practice addresses (Care Compare)

20216 Farmington Rd
Livonia, MI 48152-1412
Phone (734) 237-8916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009576GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Triumph Chiropractic PLLC Chiropractor CurrentSince Dec 1, 2015 Accepting new patients
Pleasant Chiropractic PC Chiropractor Past Accepting new patients
Rodnick Chiropractic Consultants PC Chiropractor Past Accepting new patients

Locations

20216 Farmington Rd
Livonia, MI 48152
Phone (248) 477-0055

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1427286517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 N SAGINAW RD",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402387",
            "telephone_number": "989-832-7535",
            "fax_number": "989-832-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 N SAGINAW RD",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402387",
            "telephone_number": "989-832-7535",
            "fax_number": "989-832-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODNICK",
        "first_name": "ALEXANDER",
        "middle_name": "HENRY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2301009576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.