Organization Active NPI

Rodas-Lindstrom Chiropractic Inc

  • Chiropractor
  • Novato, CA
National Provider Identifier
1699410423
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RODAS-LINDSTROM CHIROPRACTIC INC
Practice address
250 Bel Marin Keys Blvd Ste F3
Novato, CA 94949-5730
Phone
(415) 295-7227
Fax
(415) 295-4135
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Brenda Audrey Rodas-Lindstrom, D.C.NPI 1669754610
Title
Owner
Phone
(415) 295-7227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

250 Bel Marin Keys Blvd Ste F3
Novato, CA 94949-5730

Mailing address

250 Bel Marin Keys Blvd Ste F3
Novato, CA 94949-5730
Phone (415) 295-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250325003873 CA Part B Supplier - Clinic/Group Practice 0345763868 Receives reassigned benefits from 1 practitioner
Practice locations: Novato, CA

National Provider Directory

National Provider Directory

Locations

250 Bel Marin Keys Blvd
Ste F3
Novato, CA 94949
Phone (415) 295-7227

359 Bel Marin Keys Blvd
Ste 10
Novato, CA 94949
Phone (415) 295-7227

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1699410423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BEL MARIN KEYS BLVD STE F3",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949495730",
            "telephone_number": "415-295-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BEL MARIN KEYS BLVD STE F3",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949495730",
            "telephone_number": "415-295-7227",
            "fax_number": "415-295-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODAS-LINDSTROM CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "RODAS-LINDSTROM",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-295-7227",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.