Active NPI
Roland Robert Rodriguez, D.C.
- Chiropractor
- Highland, CA
National Provider Identifier
1780911081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31366
- Practice address
- 7223 Church St
Suite A10
Highland, CA 92346-5869 - Phone
- (909) 856-0213
- NPI assigned
- Nov 6, 2009
- Last updated
- Apr 6, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31366 | CA | Primary |
Addresses
Primary practice location
7223 Church St
Suite A10
Highland, CA 92346-5869
Mailing address
7223 Church St
Suite A10
Highland, CA 92346-5869
Phone (909) 856-0213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100630000131 | CA | Practitioner - Chiropractic | 2769513001 | Practice locations: Highland, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7223 Church St
A10
Highland, CA 92346-5811
Phone (909) 856-0213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1780911081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7223 CHURCH ST",
"address_2": "SUITE A10",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923465869",
"telephone_number": "909-856-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7223 CHURCH ST",
"address_2": "SUITE A10",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923465869",
"telephone_number": "909-856-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ROLAND",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-06",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.