Individual provider Active NPI

Amelia Rodrock, DC

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1790107894
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105599 Issued in KS
Practice address
1440 Wakarusa Dr
Ste 400
Lawrence, KS 66049-4090
Phone
(785) 832-8700
Fax
(785) 832-8702
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0105599 KS Primary

Addresses

Primary practice location

1440 Wakarusa Dr
Ste 400
Lawrence, KS 66049-4090

Mailing address

1440 Wakarusa Dr
Ste 400
Lawrence, KS 66049-4090
Phone (785) 832-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141204001903 KS Practitioner - Chiropractic 3971724725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdcha IncGroup PAC ID 1850880311, 2 clinicians
Rodrock Chiropractic PAGroup PAC ID 2062461403, 4 clinicians

Practice addresses (Care Compare)

1440 Wakarusa Dr
Suite 400
Lawrence, KS 66049-3879
Phone (785) 832-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0105599KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rodrock Chiropractic, P.a. Chiropractor Current Accepting new patients
Mdcha Inc Chiropractor CurrentSince Dec 13, 2013 Accepting new patients

Locations

603 Ames St
Baldwin City, KS 66006
Phone (785) 434-9399

1440 Wakarusa Dr
Ste 400
Lawrence, KS 66049
Phone (785) 764-1775

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1790107894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 WAKARUSA DR",
            "address_2": "STE 400",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494090",
            "telephone_number": "785-832-8700",
            "fax_number": "785-832-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 WAKARUSA DR",
            "address_2": "STE 400",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494090",
            "telephone_number": "785-832-8700",
            "fax_number": "785-832-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODROCK",
        "first_name": "AMELIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.