Active NPI
Beau Joseph Rhodes, DC
- Chiropractor
- Windsor, CA
National Provider Identifier
1538653167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34258
- Practice address
- 8499 Old Redwood Hwy Ste 204
Windsor, CA 95492-8058 - Phone
- (408) 218-3049
- NPI assigned
- Jun 18, 2018
- Last updated
- Aug 7, 2019
- 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 | 34258 | CA | Primary |
Addresses
Primary practice location
8499 Old Redwood Hwy Ste 204
Windsor, CA 95492-8058
Mailing address
8499 Old Redwood Hwy Ste 204
Windsor, CA 95492-8058
Phone (707) 838-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200226000102 | CA | Practitioner - Chiropractic | 1355778606 | Practice locations: Windsor, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8499 Old Redwood Hwy
Suite 204
Windsor, CA 95492-8058
Phone (707) 838-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1538653167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8499 OLD REDWOOD HWY STE 204",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954928058",
"telephone_number": "707-838-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8499 OLD REDWOOD HWY STE 204",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954928058",
"telephone_number": "408-218-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "BEAU",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-18",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.