Organization Active NPI

Forest City Chiropractic, P.a.

  • Chiropractor
  • Forest City, NC
National Provider Identifier
1962593095
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3778 Issued in NC
Legal business name
FOREST CITY CHIROPRACTIC, P.A.
Practice address
467 W Main St
Forest City, NC 28043-2920
Phone
(828) 245-8962
Fax
(828) 245-4423
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Robert J Rodgers III, D.C.
Title
Owner/Practioner
Phone
(828) 245-8962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3778 NC Primary

Addresses

Primary practice location

467 W Main St
Forest City, NC 28043-2920

Mailing address

190 E Main St
Forest City, NC 28043-2108
Phone (828) 245-8962

Other identifiers 1

IdentifierTypeStateIssuer
5914819MedicaidNC

National Provider Directory

National Provider Directory

Locations

190 E Main St
Forest City, NC 28043
Phone (828) 245-8962

467 W Main St
Forest City, NC 28043
Phone (828) 245-8962

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1962593095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432108",
            "telephone_number": "828-245-8962",
            "fax_number": "828-245-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 W MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432920",
            "telephone_number": "828-245-8962",
            "fax_number": "828-245-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CITY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "828-245-8962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914819",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.