Organization Active NPI

Raphael Bonelle

  • Point of Service
  • Oklahoma City, OK
National Provider Identifier
1184079014
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
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

Updated by the provider on Apr 28, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.