Active NPI
Rodney Dale Anderson, DC
- Chiropractor
- Payson, AZ
National Provider Identifier
1932295110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3751
- Practice address
- 903 N Beeline Hwy Ste B
Payson, AZ 85541-3789 - Phone
- (928) 474-7070
- Fax
- (928) 474-9450
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3751 | AZ | Primary |
Addresses
Primary practice location
903 N Beeline Hwy Ste B
Payson, AZ 85541-3789
Mailing address
PO Box 1318
Payson, AZ 85547-1318
Phone (928) 474-7070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070124000763 | AZ | Practitioner - Chiropractic | 2668473240 | |
| I20240906001693 | AZ | Practitioner - Chiropractic | 2668473240 | Practice locations: Payson, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
600 E St Hwy 260
Suite 5
Payson, AZ 85541
600 E State Hwy 260
Suite 5
Payson, AZ 85541-4967
Phone (928) 474-7070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3751 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rampertab Podiatry Onsite Podiatry Services | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Payson, AZ
- NPI 1871689091
-
- Podiatrist
- Phoenix, AZ
- NPI 1528742731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932295110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1318",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855471318",
"telephone_number": "928-474-7070",
"fax_number": "928-474-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 N BEELINE HWY STE B",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855413789",
"telephone_number": "928-474-7070",
"fax_number": "928-474-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RODNEY",
"middle_name": "DALE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "3751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
- Alpine Country Urologic Associates PC
- Patricia M Alvira, CNA
- Anderson Chiropractic Inc
- Anderson Dental Group
- Eric Jon Anderson, DDS
- Apothecary Shop of Payson
- Arizona Health Option, Inc (Mountain Transportation Specialists)
- Arizona Heart Institute LTD Payson
- Arizona Institute of Dermatology Payson LLC (Peak Dermatology)
- Arizona Respiratory & Medical Supply Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.