Active NPI
Bart V Rhoads, D.C.
- Chiropractor
- Jefferson Cty, MO
National Provider Identifier
1811993157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE005898
- Practice address
- 915 Southwest Blvd
Ste H
Jefferson Cty, MO 65109-5014 - Phone
- (573) 636-9977
- Fax
- (573) 636-2209
- NPI assigned
- Jun 22, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 | CE005898 | MO | Primary |
| Chiropractor | 111N00000X | 5478 | TX |
Addresses
Primary practice location
915 Southwest Blvd
Ste H
Jefferson Cty, MO 65109-5014
Mailing address
915 Southwest Blvd
Ste H
Jefferson Cty, MO 65109-5014
Phone (573) 636-9977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070731000192 | MO | Practitioner - Chiropractic | 8921109273 | Practice locations: Jefferson City, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1739 Elm CT
Jefferson City, MO 65101-4303
Phone (573) 636-9977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CE005898 | MO | MD | Chiropractor |
| 5478 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811993157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 SOUTHWEST BLVD",
"address_2": "STE H",
"city": "JEFFERSON CTY",
"state": "MO",
"postal_code": "651095014",
"telephone_number": "573-636-9977",
"fax_number": "573-636-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 SOUTHWEST BLVD",
"address_2": "STE H",
"city": "JEFFERSON CTY",
"state": "MO",
"postal_code": "651095014",
"telephone_number": "573-636-9977",
"fax_number": "573-636-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADS",
"first_name": "BART",
"middle_name": "V",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "CE005898",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5478",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson Cty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.