Individual provider Active NPI

Rodney L. Carson, D.C.

  • Chiropractor
  • Webb City, MO
National Provider Identifier
1730248998
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004806 Issued in MO
Practice address
1010 S Madison St
Suite E
Webb City, MO 64870-2566
Phone
(417) 673-7300
Fax
(417) 673-7301
NPI assigned
Dec 6, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004806 MO Primary

Addresses

Primary practice location

1010 S Madison St
Suite E
Webb City, MO 64870-2566

Mailing address

1010 S Madison St
Suite E
Webb City, MO 64870-2566
Phone (417) 673-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000119 MO Practitioner - Chiropractic 5496755282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1010 S Madison St
Suite E
Webb City, MO 64870-2501
Phone (417) 673-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Chiropractic LLC Chiropractor CurrentSince Jul 1, 2006 Accepting new patients

Locations

1010 S Madison St
Ste E
Webb City, MO 64870
Phone (417) 673-7300

Interoperability endpoints

  • Direct secure messaging: rodney.carson.1@20184.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1730248998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S MADISON ST",
            "address_2": "SUITE E",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648702566",
            "telephone_number": "417-673-7300",
            "fax_number": "417-673-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MADISON ST",
            "address_2": "SUITE E",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648702566",
            "telephone_number": "417-673-7300",
            "fax_number": "417-673-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "RODNEY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webb City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.