Individual provider Active NPI

Rodger Reardon Phillips, D.C.

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1669594370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12506 Issued in CA
Practice address
21700 Golden Triangle Rd
Suite 103
Santa Clarita, CA 91350-2616
Phone
(661) 253-1200
Fax
(661) 253-1276
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC12506 CA Primary

Addresses

Primary practice location

21700 Golden Triangle Rd
Suite 103
Santa Clarita, CA 91350-2616

Mailing address

21700 Golden Triangle Rd
Suite 103
Santa Clarita, CA 91350-2616
Phone (661) 253-1200

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669594370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD",
            "address_2": "SUITE 103",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502616",
            "telephone_number": "661-253-1200",
            "fax_number": "661-253-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD",
            "address_2": "SUITE 103",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502616",
            "telephone_number": "661-253-1200",
            "fax_number": "661-253-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RODGER",
        "middle_name": "REARDON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

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.

Verify at the official NPI Registry.