Individual provider Active NPI

David C. Rodeheffer, PH.D.

  • Psychologist
  • Topeka, KS
National Provider Identifier
1760455976
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00646 Issued in KS
Practice address
907 SW 10TH Ave
Topeka, KS 66604-1101
Phone
(785) 234-4743
Fax
(785) 234-5068
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00646 KS Primary

Addresses

Primary practice location

907 SW 10TH Ave
Topeka, KS 66604-1101

Mailing address

907 SW 10TH Ave
Topeka, KS 66604-1101
Phone (785) 234-4743

Other identifiers 1

IdentifierTypeStateIssuer
100239250AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00646KSMDPsychologist
646KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1760455976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041101",
            "telephone_number": "785-234-4743",
            "fax_number": "785-234-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041101",
            "telephone_number": "785-234-4743",
            "fax_number": "785-234-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEHEFFER",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "00646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239250A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.