Active NPI
Rodd E. Stafford, D.C.
- Chiropractor
- Irvine, CA
National Provider Identifier
1467470559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC21134
- Practice address
- 2540 Main St Ste T
Irvine, CA 92614-6241 - Phone
- (949) 222-9171
- Fax
- (949) 222-2260
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC21134 | CA | Primary |
Addresses
Primary practice location
2540 Main St Ste T
Irvine, CA 92614-6241
Mailing address
PO Box 18111
Irvine, CA 92623-8111
Phone (949) 222-9171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101103001141 | CA | Practitioner - Chiropractic | 7012101009 | Practice locations: Irvine, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2540 Main St
Suite T
Irvine, CA 92614-6241
Phone (949) 222-9171
2540 Main St T
Irvine, CA 92614-6241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC21134 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467470559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18111",
"city": "IRVINE",
"state": "CA",
"postal_code": "926238111",
"telephone_number": "949-222-9171",
"fax_number": "949-222-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 MAIN ST STE T",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146241",
"telephone_number": "949-222-9171",
"fax_number": "949-222-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "RODD",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC21134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
- St. Jude Hospital Yorba Linda (DRIVE Wellness Center)
- St. Jude Hospital Yorba Linda (Wellness-Village)
- St. Jude Hospital Yorba Linda (Wellness-Park Place)
- Coury Staadecker, D.D.S., M.S.
- Ashley Eve Stading
- Stan Chien, D.D.S.
- Edward Paul Stanley, R.N.
- Gayanne Stanley
- Stephanie Grace Stanley, PT, DPT
- Sarah Elizabeth Stanton, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.