Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeff R. Roderick, DC

Individual provider Sports Physician Chiropractor · NPI 1740289248

Dr. Jeff R. Roderick, DC is a Chiropractic in Mesa, Arizona. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona and Idaho.

Years since qualifying
28
Licensed in
AZ, ID
In the registry since
2005
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4864 E Baseline Rd Ste 105
Mesa, AZ 85206-4629
Phone: (480) 558-1900
Fax: (480) 633-6058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 8537 (AZ)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence CHIA-872 (ID)

Record details

NPI number1740289248
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJuly 18, 2005
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020
Mailing address4864 E Baseline Rd Ste 105, Mesa, AZ 85206-4629

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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