Individual provider Active NPI

Martin James Rodgers, DC

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1972502094
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003881L Issued in PA
Practice address
1717 Old Philadelphia Pike
Lancaster, PA 17602-2660
Phone
(717) 393-9955
Fax
(717) 393-6001
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003881L PA Primary

Addresses

Primary practice location

1717 Old Philadelphia Pike
Lancaster, PA 17602-2660

Mailing address

1717 Old Philadelphia Pike
Lancaster, PA 17602-2660
Phone (717) 393-9955

Other identifiers 1

IdentifierTypeStateIssuer
1185296/01MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080625000606 PA Practitioner - Chiropractic 1951323153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic of Lancaster County LTDGroup PAC ID 4183795750, 2 clinicians

Practice addresses (Care Compare)

1717 Old Philadelphia Pike
Lancaster, PA 17602-2660
Phone (717) 393-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic of Lancaster County LTD Chiropractor CurrentSince Jan 1, 2006 Accepting new patients

Locations

1717 Old Philadelphia Pike
Lancaster, PA 17602
Phone (717) 393-9955

1940 Old Philadelphia Pike
Lancaster, PA 17602
Phone (717) 393-9955

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1972502094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OLD PHILADELPHIA PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022660",
            "telephone_number": "717-393-9955",
            "fax_number": "717-393-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OLD PHILADELPHIA PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022660",
            "telephone_number": "717-393-9955",
            "fax_number": "717-393-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "MARTIN",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003881L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1185296/01",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.