Active NPI
William Chapman
- General Practice Physician
- Coeur D Alene, ID
National Provider Identifier
1043697576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- M-3347
- Practice address
- 1948 W. Blackwell Mill Road
Coeur D Alene, ID 83814 - Phone
- (208) 664-3866
- NPI assigned
- May 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | M-3347 | ID | Primary |
Addresses
Primary practice location
1948 W. Blackwell Mill Road
Coeur D Alene, ID 83814
Mailing address
PO Box 1118
Coeur D Alene, ID 83816-1118
Phone (208) 664-3866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-3347 | ID | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1043697576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1118",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838161118",
"telephone_number": "208-664-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 W. BLACKWELL MILL ROAD",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-664-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-05",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ID",
"license": "M-3347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.