Active NPI
Nicolas Rodriguez, D.C.
- Chiropractor
- Olathe, KS
National Provider Identifier
1720433444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0105790
- Practice address
- 535 W Elm St
Olathe, KS 66061-4074 - Phone
- (913) 325-0720
- Fax
- (913) 335-0575
- NPI assigned
- May 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05790 | KS | |
| Chiropractor | 111N00000X | 0105790 | KS | Primary |
Addresses
Primary practice location
535 W Elm St
Olathe, KS 66061-4074
Mailing address
9335 Alden St
Lenexa, KS 66215-3035
Phone (913) 271-4819
Other practice location 1
13470 S Arapaho Dr Ste 150
Olathe, KS 66062-1656
Phone (913) 782-7260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0105790 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KC Mobile Health, 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.
-
- Chiropractor
- Olathe, KS
- NPI 1275098121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1720433444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9335 ALDEN ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662153035",
"telephone_number": "913-271-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 W ELM ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660614074",
"telephone_number": "913-325-0720",
"fax_number": "913-335-0575"
}
],
"practiceLocations": [
{
"address_1": "13470 S Arapaho Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Olathe",
"state": "KS",
"postal_code": "660621656",
"country_code": "US",
"telephone_number": "913-782-7260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NICOLAS",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-02",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05790",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "0105790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.