Individual provider Active NPI

Cori Rodriguez, D.C.

  • Chiropractor
  • Maitland, FL
National Provider Identifier
1720009350
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8929 Issued in FL
Practice address
543 N Wymore Rd Ste 103
Maitland, FL 32751-4270
Phone
(407) 628-1207
Fax
(407) 628-9029
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8929 FL Primary

Addresses

Primary practice location

543 N Wymore Rd Ste 103
Maitland, FL 32751-4270

Mailing address

543 N Wymore Rd Ste 103
Maitland, FL 32751-4270
Phone (407) 628-1207

Other names 1

  • Cori Rodriguez Professional name

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

LicenseStateTypeSpecialty
CH8929FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1720009350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 N WYMORE RD STE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514270",
            "telephone_number": "407-628-1207",
            "fax_number": "407-628-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N WYMORE RD STE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514270",
            "telephone_number": "407-628-1207",
            "fax_number": "407-628-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CORI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORI",
            "last_name": "RODRIGUEZ",
            "credential": "D.C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.