Individual provider Active NPI

Damien Rogers, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1851462790
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8355 Issued in FL
Practice address
10935 N Dale Mabry Hwy
Tampa, FL 33618-4112
Phone
(813) 969-2225
Fax
(813) 960-3176
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8355 FL Primary

Addresses

Primary practice location

10935 N Dale Mabry Hwy
Tampa, FL 33618-4112

Mailing address

10935 N Dale Mabry Hwy
Tampa, FL 33618-4112
Phone (813) 969-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120720000309 FL Practitioner - Chiropractic 3375737315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13153 N Dale Mabry Hwy
Unit 109
Tampa, FL 33618-2410
Phone (813) 969-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Con-40 Wellness Center Inc. Chiropractor CurrentSince Feb 8, 2002 Accepting new patients

Locations

10935 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 969-2225

13153 N Dale Mabry Hwy
Ste 109
Tampa, FL 33618
Phone (813) 969-2225

Organizations & group practices 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1851462790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184112",
            "telephone_number": "813-969-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184112",
            "telephone_number": "813-969-2225",
            "fax_number": "813-960-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DAMIEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.