Individual provider Active NPI

Caleb Rodgers, DC, RN, BSN, CCRN,

  • Chiropractor
  • Denver, CO
National Provider Identifier
1861817249
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR0007779 Issued in CO
Practice address
7505 E 35TH Ave Unit 302
Denver, CO 80238
Phone
(303) 647-9196
Fax
(970) 455-0402
NPI assigned
Feb 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X 1619157 CO
Mechanotherapist 172M00000X 0015634 CO
Chiropractor 111N00000X CHR0007779 CO Primary

Addresses

Primary practice location

7505 E 35TH Ave Unit 302
Denver, CO 80238

Mailing address

7505 E 35TH Ave Unit 302
Denver, CO 80238-2460
Phone (303) 647-9196

Other practice location 1

2121 S Blackhawk St
Suite 215-S
Aurora, CO 80014-1487
Phone (303) 671-2414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CHR0007779COMDChiropractor
1619157COMDNurse Massage Therapist (NMT)
0015634COMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Eden Healing Arts, LTD Past Accepting new patients

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": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1861817249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 E 35TH AVE UNIT 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382460",
            "telephone_number": "303-647-9196",
            "fax_number": "970-455-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 E 35TH AVE UNIT 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80238",
            "telephone_number": "303-647-9196",
            "fax_number": "970-455-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 S Blackhawk St",
            "address_2": "Suite 215-S",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800141487",
            "country_code": "US",
            "telephone_number": "303-671-2414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "DC, RN, BSN, CCRN,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-21",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "CO",
            "license": "1619157",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CO",
            "license": "0015634",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0007779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.