DR. DAVID EDMAND RODEBACK PHD
NPI 1679746846
Social Worker - Clinical in Salt Lake City, UT
About Dr. David Edmand Rodeback Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID EDMAND RODEBACK PHD (NPI 1679746846) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (138978-3501) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bountiful.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. David Edmand Rodeback Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84106
SALT LAKE CITY, UT 84106
SALT LAKE CITY, UT 84106
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 David Rodeback's NPI number?
The NPI number for David Rodeback is 1679746846. It was assigned to this individual provider in the NPPES registry on April 9, 2008.
Where is David Rodeback located?
David Rodeback practices at 3838 S 700 E Ste 100, Salt Lake City, UT 84106. The listed phone number is (801) 269-0231.
What is David Rodeback's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is David Rodeback enrolled in Medicare?
Yes. David Rodeback is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for David Rodeback was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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. David Edmand Rodeback, PHD · NPI 1679746846
Clinical provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 9, 2008.
## Identity
- **NPI:** 1679746846 (Entity type: Individual)
- **Enumerated:** April 9, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 138978-3501 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 3838 S 700 E STE 100, Salt Lake City, UT 84106-1494
- **Phone:** (801) 269-0231
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** March 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1679746846) · Data from the CMS NPPES public registry.