Jacob Rogalski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC05162 Issued in OH

Practice address

1545 Mentor Ave
Painesville, OH 44077-1706

Phone

(440) 639-9171

Fax

(440) 579-0119

NPI assigned

Apr 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Lake County ChiropracticGroup PAC ID 4486954047, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wellness Lake County Chiropractic

  • Chiropractor
  • Painesville, OH
  • NPI 1093104465
  Medicare reassignment Care Compare group NPD
• Painesville Family Chiropractic Inc.

  • Nutrition Chiropractor
  • Painesville, OH
  • NPI 1205029808
  NPD

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1710620182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ELM DR",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012024",
            "telephone_number": "724-664-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771706",
            "telephone_number": "440-639-9171",
            "fax_number": "440-579-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGALSKI",
        "first_name": "JACOB",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC05162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Matilde Rodriguez, M.D.
• Cathilia Rodriguez
• Chelsey Rodriguez
• Michael Charles Rodriguez, D.D.S.
• Tara Rodriguez
• Heather M Rogers
• Mary Roper
• Anthony Rosa
• Dorene Rosa
• Bekirah Ross, STNA

• Chiropractor in Painesville, OH
• Providers in Painesville, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.