Angela Marie Boyazis-Rodger, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11898 Issued in FL

Practice address

1950 Laurel Manor Dr
Ste. 204
The Villages, FL 32162-5603

Phone

(352) 259-0024

NPI assigned

Sep 25, 2015

Last updated

May 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1841660495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "address_2": "STE 204",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625608",
            "telephone_number": "352-259-0024",
            "fax_number": "352-430-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "address_2": "STE. 204",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625603",
            "telephone_number": "352-259-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYAZIS-RODGER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11898",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "0007149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti Bonnie, LMT,NCBTMB
• Paul E Boor, MD
• Joseph Mark Bourque, RPH
• Mary Anne Bowers, APRN
• Amanda Bowersock
• Kathryn Boyer, DPT
• Randall L Braddom, M.D.
• Amber Lynn Brady, DPT
• Dennis Alan Brady, PHD, PASTORAL COUNSE
• Jenna Schwenk Branch, PHARMD

• Chiropractor in The Villages, FL
• Providers in The Villages, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.