Active NPI
Robert J Rodgers III, DC
- Chiropractor
- Forest City, NC
National Provider Identifier
1457474199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3778
- Practice address
- 467 W Main St
Forest City, NC 28043-2920 - Phone
- (828) 245-8962
- Fax
- (828) 245-4423
- NPI assigned
- Apr 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010860 | NY | |
| Chiropractor | 111N00000X | 3778 | NC | Primary |
Addresses
Primary practice location
467 W Main St
Forest City, NC 28043-2920
Mailing address
467 W Main St
Forest City, NC 28043-2920
Phone (828) 245-8962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08561 | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070828000592 | NC | Practitioner - Chiropractic | 9133211642 | Practice locations: Forest City, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
190 E Main St
Forest City, NC 28043-2108
Phone (828) 245-8962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3778 | NC | MD | Chiropractor |
| X010860 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1457474199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 W MAIN ST",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280432920",
"telephone_number": "828-245-8962",
"fax_number": "828-245-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 W MAIN ST",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280432920",
"telephone_number": "828-245-8962",
"fax_number": "828-245-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "ROBERT",
"middle_name": "J",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010860",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08561",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.