Active NPI
Rodney Marc Meeker, D.C.
- Chiropractor
- Puyallup, WA
National Provider Identifier
1639274665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60020406
- Practice address
- 111 East Stewart Ave
Puyallup, WA 98372 - Phone
- (253) 845-0543
- Fax
- (253) 848-6788
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1198 | ID | |
| Chiropractor | 111N00000X | CH60020406 | WA | Primary |
Addresses
Primary practice location
111 East Stewart Ave
Puyallup, WA 98372
Mailing address
111 East Stewart Ave
Puyallup, WA 98372
Phone (253) 845-0543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7740ME | Other | WA | REGENCE BLUESHIELD |
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 |
|---|---|---|---|
| CHIA-1198 | ID | MD | Chiropractor |
| CH60020406 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puyallup Chiropractic Clinic | Chiropractor | Current | Accepting new patients |
Locations
111 E Stewart Ave
Puyallup, WA 98372
Phone (253) 845-0543
615 E Pioneer
Ste 109
Puyallup, WA 98372
Phone (253) 845-0543
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 and National Provider Directory roles.
-
- Chiropractor
- Puyalluup, WA
- NPI 1164599601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1639274665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EAST STEWART AVE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98372",
"telephone_number": "253-845-0543",
"fax_number": "253-848-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST STEWART AVE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98372",
"telephone_number": "253-845-0543",
"fax_number": "253-848-6788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKER",
"first_name": "RODNEY",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1198",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60020406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "7740ME",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.