Rod Hodge, M.ED.,D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1370 Issued in NM

Practice address

3939 San Pedro Dr NE Ste B-L
Albuquerque, NM 87110-8900

Phone

(505) 878-0046

Fax

(505) 878-0052

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1578638847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE STE B-L",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108900",
            "telephone_number": "505-878-0046",
            "fax_number": "505-878-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE STE B-L",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108900",
            "telephone_number": "505-878-0046",
            "fax_number": "505-878-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "ROD",
        "name_prefix": "Dr.",
        "credential": "M.ED.,D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "IKC55",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth W Hodder, LISW
• Linda J Hodes Villamar, MD, MPH
• Ebony N Hodge
• Mikaya L Hodge
• Patrick Mark Hodge, BCHN
• Elysee Michelle Hodges
• Gary S Hodges, LMHC
• Marie Hodges
• Paul A. Hodges, RN
• Ulton G Hodgin, MD

• Chiropractor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.