Organization Active NPI

Rod E. Drouse D.C., P.C.

  • Chiropractor
  • Evart, MI
National Provider Identifier
1992973630
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
RD006119 Issued in MI
Legal business name
ROD E. DROUSE D.C., P.C.
Practice address
210 North Main St
Evart, MI 49631-1162
Phone
(231) 734-2791
Fax
(231) 734-6962
NPI assigned
Feb 15, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mr. Rodney Edwin Drouse, D.C.NPI 1750456141
Title
President
Phone
(231) 734-2791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X RD006119 MI Primary

Addresses

Primary practice location

210 North Main St
Evart, MI 49631-1162

Mailing address

PO Box 1162
Evart, MI 49631-1162
Phone (231) 734-2791

Other identifiers 1

IdentifierTypeStateIssuer
3336907MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080329000079 MI Part B Supplier - Clinic/Group Practice 3173609245 Receives reassigned benefits from 1 practitioner
Practice locations: Evart, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1992973630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "EVART",
            "state": "MI",
            "postal_code": "496311162",
            "telephone_number": "231-734-2791",
            "fax_number": "231-734-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NORTH MAIN ST",
            "city": "EVART",
            "state": "MI",
            "postal_code": "496311162",
            "telephone_number": "231-734-2791",
            "fax_number": "231-734-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROD E. DROUSE D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "DROUSE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-734-2791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RD006119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3336907",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evart, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.