DR. TIM M. RHOADS D.C.
NPI 1639369622
Chiropractor in Rolla, MO
About Dr. Tim M. Rhoads D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIM M. RHOADS D.C. (NPI 1639369622) is an individual chiropractor in Rolla, Missouri, licensed in Missouri (005588) and active in the NPI registry since July 2007.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tim M. Rhoads D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tim Rhoads reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rolla, MO 65401
- Reassigned Medicare billing, Missouri enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tim Rhoads's NPI number?
The NPI number for Tim Rhoads is 1639369622. It was assigned to this individual provider in the NPPES registry on July 26, 2007.
Where is Tim Rhoads located?
Tim Rhoads practices at 602 W 6th St, Rolla, MO 65401. The listed phone number is (573) 364-4647.
What is Tim Rhoads's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tim Rhoads enrolled in Medicare?
Yes. Tim Rhoads is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tim Rhoads's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tim Rhoads reassigns Medicare benefits to Ozark Wellness Practice, LLC (Rolla, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tim Rhoads's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tim Rhoads was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Tim M. Rhoads, D.C. · NPI 1639369622
Chiropractor provider in Rolla, Missouri. Individual provider, active in the CMS NPPES registry since July 26, 2007.
## Identity
- **NPI:** 1639369622 (Entity type: Individual)
- **Enumerated:** July 26, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 005588 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 602 W 6TH ST, Rolla, MO 65401-2941
- **Phone:** (573) 364-4647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Ozark Wellness Practice, LLC (NPI 1427343433, Rolla, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1639369622) · Data from the CMS NPPES public registry.