Individual provider Active NPI

Trey A Rapczak

  • Specialist
  • Gainesville, FL
National Provider Identifier
1053559591
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
55108 Issued in FL
Practice address
214 NW 14TH St
Gainesville, FL 32603-1918
Phone
(352) 359-6576
NPI assigned
Jan 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 55108 FL Primary

Addresses

Primary practice location

214 NW 14TH St
Gainesville, FL 32603-1918

Mailing address

3590 NW 37TH St
Gainesville, FL 32605-2047
Phone (352) 359-6576

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

LicenseStateTypeSpecialty
55108FLMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1053559591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 NW 37TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052047",
            "telephone_number": "352-359-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 NW 14TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326031918",
            "telephone_number": "352-359-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPCZAK",
        "first_name": "TREY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "55108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.