David E. Rogers, M.D. a Professional Corporation

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

DAVID E. ROGERS, M.D. A PROFESSIONAL CORPORATION

Practice address

222 West Eulalia Street
Suite 309
Glendale, CA 91204-2843

Phone

(818) 243-0499

Fax

(818) 243-0280

NPI assigned

Dec 14, 2010

Organization subpart

No

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

Authorized official

Name

David E. Rogers, MDNPI 1770510513

Title

President

Phone

(818) 243-0499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• David E. Rogers, M.D. a Professional Corporation

  • Specialist
  • Glendale, CA
  • NPI 1205159860

  7719039668

  Same PAC ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David E. Rogers, M.D.

  • Specialist
  • Glendale, CA
  • NPI 1770510513
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1497058424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WEST EULALIA STREET",
            "address_2": "SUITE 309",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042843",
            "telephone_number": "818-243-0499",
            "fax_number": "818-243-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WEST EULALIA STREET",
            "address_2": "SUITE 309",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042843",
            "telephone_number": "818-243-0499",
            "fax_number": "818-243-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. ROGERS, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-243-0499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.