Organization Active NPI

William P Yapp DC PA

  • Chiropractor
  • Green Cove Springs, FL
National Provider Identifier
1124376629
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4844CHIROPRACTOR Issued in FL
Legal business name
WILLIAM P YAPP DC PA
Practice address
1212 Idlewild Ave. (Hwy 16W)
Green Cove Springs, FL 32043
Phone
(904) 284-4868
Fax
(904) 284-8059
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Dr. William Perry Yapp, DCNPI 1831245711
Title
Owner
Phone
(904) 284-4868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4844CHIROPRACTOR FL Primary

Addresses

Primary practice location

1212 Idlewild Ave. (Hwy 16W)
Green Cove Springs, FL 32043

Mailing address

1212 Idlewild Ave. (Hwy 16W)
Green Cove Springs, FL 32043
Phone (904) 284-4868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121018000636 FL Part B Supplier - Clinic/Group Practice 1951551498 Receives reassigned benefits from 1 practitioner
Practice locations: Green Cove Springs, FL

National Provider Directory

National Provider Directory

Locations

1212 Idlewild Ave
Green Cv Spgs, FL 32043
Phone (904) 284-4868

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1124376629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 IDLEWILD AVE. (HWY 16W)",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "32043",
            "telephone_number": "904-284-4868",
            "fax_number": "904-284-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 IDLEWILD AVE. (HWY 16W)",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "32043",
            "telephone_number": "904-284-4868",
            "fax_number": "904-284-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P YAPP DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "YAPP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-284-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4844CHIROPRACTOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.