Individual provider Active NPI

Jennifer Rhodes, D.C.

  • Chiropractor
  • Eureka, MO
National Provider Identifier
1629218706
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007026613 Issued in MO
Practice address
300 W 4TH St Ste C
Eureka, MO 63025-1839
Phone
(636) 938-4414
Fax
(636) 938-4225
NPI assigned
Mar 2, 2009
Last updated
Mar 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007026613 MO Primary

Addresses

Primary practice location

300 W 4TH St Ste C
Eureka, MO 63025-1839

Mailing address

300 W 4TH St Ste C
Eureka, MO 63025-1839
Phone (636) 938-4414

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

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1629218706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 4TH ST STE C",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251839",
            "telephone_number": "636-938-4414",
            "fax_number": "636-938-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 4TH ST STE C",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251839",
            "telephone_number": "636-938-4414",
            "fax_number": "636-938-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "JENNIFER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007026613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.