Active NPI
Roderick D Coxon, D.C.
- Orthopedic Chiropractor
- Lebanon, KY
National Provider Identifier
1629121868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 4454
- Practice address
- 112 Lebanon Trade Ctr
Lebanon, KY 40033-1821 - Phone
- (270) 699-2323
- Fax
- (270) 699-2323
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 4454 | KY | Primary |
Addresses
Primary practice location
112 Lebanon Trade Ctr
Lebanon, KY 40033-1821
Mailing address
112 Lebanon Trade Ctr
Lebanon, KY 40033-1821
Phone (270) 699-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85000297 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4454 | KY | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coxon Chiropractic
- Orthopedic Chiropractor
- Lebanon, KY
- NPI 1720470602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629121868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LEBANON TRADE CTR",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331821",
"telephone_number": "270-699-2323",
"fax_number": "270-699-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LEBANON TRADE CTR",
"city": "LEBANON",
"state": "KY",
"postal_code": "400331821",
"telephone_number": "270-699-2323",
"fax_number": "270-699-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COXON",
"first_name": "RODERICK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "KY",
"license": "4454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85000297",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, KY
- Communicare Inc
- Communication Beyond Limits, PLC
- Delana Michelle Connors, MSN, APRN, FNP-C
- Jody Coomer, APRN
- Sarah Grace Coulter, MSPT
- Chelsea Crutchfield
- Cumberland Family Medical Center Inc (Marion County Knight Academy Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Lebanon Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Calvary Elementary Healthy Kids Clinic)
- Cumberland Family Medical Center Inc (Marion County Middle Healthy Kids Clinic)
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.