Individual provider Active NPI

Gerald Raftopoulos, D.C.

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1205958444
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8252 Issued in FL
Practice address
6901 Okeechobee Blvd
Suite D-7
West Palm Beach, FL 33411-2511
Phone
(561) 684-1080
Fax
(561) 684-6221
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8252 FL Primary

Addresses

Primary practice location

6901 Okeechobee Blvd
Suite D-7
West Palm Beach, FL 33411-2511

Mailing address

6901 Okeechobee Blvd
Suite D-7
West Palm Beach, FL 33411-2511
Phone (561) 684-1080

Other identifiers 1

IdentifierTypeStateIssuer
89348OtherFLBCBSFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000290 FL Practitioner - Chiropractic 5092771709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9121 N Military Trail
Suite 104
Palm Beach Gardens, FL 33410-5985
Phone (561) 776-7270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 8252FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sedan Inc Chiropractor CurrentSince Dec 4, 2004 Accepting new patients
Paramount Chiropractic Inc Chiropractor CurrentSince Oct 19, 2013 Accepting new patients

Locations

6901 Okeechobee Blvd
Ste D7
West Palm Beach, FL 33411
Phone (561) 371-3326

9121 N Military Trl
Ste 104
West Palm Beach, FL 33410
Phone (561) 627-5252

1937 N Military Trl
Ste S
West Palm Beach, FL 33409
Phone (561) 684-1080

4674 Okeechobee Blvd
West Palm Beach, FL 33417
Phone (561) 689-5300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1205958444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 OKEECHOBEE BLVD",
            "address_2": "SUITE D-7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112511",
            "telephone_number": "561-684-1080",
            "fax_number": "561-684-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 OKEECHOBEE BLVD",
            "address_2": "SUITE D-7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112511",
            "telephone_number": "561-684-1080",
            "fax_number": "561-684-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFTOPOULOS",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "89348",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.