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DR. RAY RODDAN D.C.
NPI 1215011176
Chiropractor in Green Bay, WI

Active since October 25, 2006
1075 BROOKWOOD DR, GREEN BAY, WI 54304(920) 496-6000(920) 496-0998 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Ray Roddan D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAY RODDAN D.C. (NPI 1215011176) is an individual chiropractor in Green Bay, Wisconsin, licensed in Wisconsin (1451) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1215011176
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RAY RODDANCredential: D.C.
Location Address1075 BROOKWOOD DRGreen Bay, WI 54304-4135
Mailing Address1075 Brookwood DrGreen Bay, WI 54304-4135 · (920) 496-6000 · Fax (920) 496-0998
Phone(920) 496-6000
Fax(920) 496-0998
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215011176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 1451
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1075 BROOKWOOD DR, Green Bay, WI 54304
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Other Identifiers 3

Medicare ID-Type Unspecified00037562WI
Medicaid38755600WI
Medicare UPINT63123WI

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
274 services22 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC RECINE L.A.C. C.A.
Acupuncturist
1075 BROOKWOOD DR
GREEN BAY, WI 54304
Brown County (920) 496-6000
DR. DWIGHT MASAICHI TAMANAHA D.C.
Chiropractor
1075 BROOKWOOD DR
GREEN BAY, WI 54304
Brown County (920) 496-6000
DR. RHONDA SUSAN HENSLEY D.C.
Chiropractor
1075 BROOKWOOD DR
GREEN BAY, WI 54304
Brown County (920) 496-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ray Roddan's NPI number?

The NPI number for Ray Roddan is 1215011176. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Ray Roddan located?

Ray Roddan practices at 1075 Brookwood Dr, Green Bay, WI 54304. The listed phone number is (920) 496-6000.

What is Ray Roddan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ray Roddan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.