Active NPI
Jeffrey K Chapman, MD
- Plastic Surgery Physician
- Fort Collins, CO
National Provider Identifier
1184687469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 41762
- Practice address
- 2315 E Harmony Rd
Suite 160
Fort Collins, CO 80528-8620 - Phone
- (970) 493-8800
- Fax
- (970) 498-8800
- NPI assigned
- Apr 8, 2006
- Last updated
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 41762 | CO | Primary |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 41762 | CO | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 41762 | CO |
Addresses
Primary practice location
2315 E Harmony Rd
Suite 160
Fort Collins, CO 80528-8620
Mailing address
2315 E Harmony Rd
Suite 160
Fort Collins, CO 80528-8620
Phone (970) 493-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31322875 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41762 | CO | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1184687469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 E HARMONY RD",
"address_2": "SUITE 160",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805288620",
"telephone_number": "970-493-8800",
"fax_number": "970-498-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 E HARMONY RD",
"address_2": "SUITE 160",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805288620",
"telephone_number": "970-493-8800",
"fax_number": "970-498-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "JEFFREY",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CO",
"license": "41762",
"primary": true
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "CO",
"license": "41762",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CO",
"license": "41762",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31322875",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.