Active NPI
Rodd Rogers, D.C.
- Chiropractor
- Neosho, MO
National Provider Identifier
1659588580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005283
- Practice address
- 1355 Rocketdyne Rd
Neosho, MO 64850-3106 - Phone
- (417) 451-2240
- Fax
- (417) 451-7197
- NPI assigned
- May 17, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005283 | MO | Primary |
Addresses
Primary practice location
1355 Rocketdyne Rd
Neosho, MO 64850-3106
Mailing address
1355 Rocketdyne Rd
Neosho, MO 64850-3106
Phone (417) 451-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00634151 | Other | MO | RR MEDICARE |
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 |
|---|---|---|---|
| 03708 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1659588580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 ROCKETDYNE RD",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648503106",
"telephone_number": "417-451-2240",
"fax_number": "417-451-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 ROCKETDYNE RD",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648503106",
"telephone_number": "417-451-2240",
"fax_number": "417-451-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "RODD",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "005283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00634151",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neosho, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.