Individual provider Active NPI

John Roddick, DC

  • Chiropractor
  • Germantown, WI
National Provider Identifier
1699609669
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6352-12 Issued in WI
Practice address
W164N11271 Squire Dr Ste P2-200
Germantown, WI 53022-6018
Phone
(608) 487-0489
NPI assigned
Jun 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6352-12 WI Primary

Addresses

Primary practice location

W164N11271 Squire Dr Ste P2-200
Germantown, WI 53022-6018

Mailing address

N170W21840 Rosewood LN Unit 1
Jackson, WI 53037-9825
Phone (608) 487-0489

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Tone Chiropractic LLC Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1699609669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N170W21840 ROSEWOOD LN UNIT 1",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530379825",
            "telephone_number": "608-487-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W164N11271 SQUIRE DR STE P2-200",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226018",
            "telephone_number": "608-487-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDICK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6352-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.