Robert G. Rogers, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15633CA Issued in CA

Practice address

520 N Prospect Ave Ste 201
Locum Tenens Statewide Service
Redondo Beach, CA 90277-3042

Phone

(310) 210-5400

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Irvine Chiropractic Inc.

  • Orthopedic Chiropractor
  • Redondo Beach, CA
  • NPI 1932285608
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1720108947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 16816",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914166816",
            "telephone_number": "310-210-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE STE 201",
            "address_2": "LOCUM TENENS STATEWIDE SERVICE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773042",
            "telephone_number": "310-210-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ROBERT",
        "middle_name": "G.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15633CA",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2785",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15633DC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Isaac Roel, P.T., D.P.T., A.T.C.
• Ellen Roese, LCSW
• Michael Rogachevsky
• Daniel Paul Rogers
• Michele A Rogers, OD
• Hallie Rolph
• Maria Amparo Romano, DDS
• Roohbakhsh Maher DPM. Inc
• Root&Branch Inc.
• Yesenia Rosado, LPCC

• Chiropractor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.