Active NPI
Kerry Ann Rodocker-Wiarda, D.C.
- Chiropractor
- Pasadena, TX
National Provider Identifier
1972507937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1338
- Practice address
- 5912 Spencer Hwy
Pasadena, TX 77505-1602 - Phone
- (281) 998-6140
- Fax
- (281) 998-0558
- NPI assigned
- Jun 8, 2005
- Last updated
- Nov 30, 2016
- Sex
- Female
- 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 | 1338 | NE | Primary |
Addresses
Primary practice location
5912 Spencer Hwy
Pasadena, TX 77505-1602
Mailing address
5912 Spencer Hwy
Pasadena, TX 77505-1602
Phone (281) 998-6140
Other names 1
- Kerry Ann Rodocker
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1338 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 13356 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerry Rodocker | Chiropractor | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1972507937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5912 SPENCER HWY",
"city": "PASADENA",
"state": "TX",
"postal_code": "775051602",
"telephone_number": "281-998-6140",
"fax_number": "281-998-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5912 SPENCER HWY",
"city": "PASADENA",
"state": "TX",
"postal_code": "775051602",
"telephone_number": "281-998-6140",
"fax_number": "281-998-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODOCKER-WIARDA",
"first_name": "KERRY",
"middle_name": "ANN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-08",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "RODOCKER",
"middle_name": "ANN",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.