Jon Howard Rogers, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH00001986 Issued in WA

Practice address

2801 Auburn Way S
Auburn, WA 98092-7961

Phone

(253) 927-5530

Fax

(253) 927-5163

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1972715100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MERIDIAN AVE E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983711013",
            "telephone_number": "253-927-5530",
            "fax_number": "253-927-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 AUBURN WAY S",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980927961",
            "telephone_number": "253-927-5530",
            "fax_number": "253-927-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JON",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH00001986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002996",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "91-1432447",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole M Roebuck
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• Tom Son Rohdy, DDS
• Jennifer Aline Rommereim, LMP
• Clorissa M Roode
• Dawn Ella Rorie
• Kelly Marie Rosenquist, LMP

• Sports Physician Chiropractor in Auburn, WA
• Providers in Auburn, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.