Active NPI
Raphael Bonelle
- Point of Service
- Oklahoma City, OK
National Provider Identifier
1184079014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- RAPHAEL BONELLE
- Practice address
- 12201 Garden CT
Oklahoma City, OK 73170-4006 - Phone
- (405) 510-4108
- NPI assigned
- Apr 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raphael Bonelle
- Title
- Case Manager
- Phone
- (405) 510-4108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
12201 Garden CT
Oklahoma City, OK 73170-4006
Mailing address
12201 Garden CT
Oklahoma City, OK 73170-4006
Phone (405) 510-4108
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461801600000",
"number": "1184079014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 GARDEN CT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731704006",
"telephone_number": "405-510-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 GARDEN CT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731704006",
"telephone_number": "405-510-4108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAPHAEL BONELLE",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A",
"authorized_official_last_name": "BONELLE",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "CASE MANAGER",
"authorized_official_telephone_number": "405-510-4108"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.