Individual provider Active NPI

Joseph F Rogers Jr., DC

  • Chiropractor
  • Clarksville, IN
National Provider Identifier
1467541177
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002029A Issued in IN
Practice address
815 Eastern Blvd
Clarksville, IN 47129-2336
Phone
(812) 282-7500
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002029A IN Primary
Chiropractor 111N00000X 5331 KY

Addresses

Primary practice location

815 Eastern Blvd
Clarksville, IN 47129-2336

Mailing address

815 Eastern Blvd
Clarksville, IN 47129-2336
Phone (812) 282-7500

Other identifiers 1

IdentifierTypeStateIssuer
200390890MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000931 IN Practitioner - Chiropractic 0143273078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarksville Spine and RehabilitationGroup PAC ID 0345293270, 2 clinicians

Practice addresses (Care Compare)

815 Eastern Blvd
Clarksville, IN 47129-2336
Phone (812) 282-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002029AINMDChiropractor
5331KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Spine and Rehabilitation Chiropractor CurrentSince Jan 1, 2005 Accepting new patients
Cleveland Chiropractic and Rehabilitation, LLC Chiropractor PastSince Dec 1, 2013 Accepting new patients
Plainfield Chiropractic and Rehabilitation, LTD Chiropractor PastSince Jun 28, 2016 Accepting new patients
Hermitage Chiropractic and Rehabilitation PLLC Chiropractor PastSince Jan 1, 2014 Accepting new patients

Locations

632 Eastern Blvd
Clarksville, IN 47129
Phone (812) 725-9025

815 Eastern Blvd
Clarksville, IN 47129
Phone (812) 282-4261

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1467541177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292336",
            "telephone_number": "812-282-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292336",
            "telephone_number": "812-282-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002029A",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200390890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.