Individual provider Active NPI

Richard Santelli, D.C.

  • Internist Chiropractor
  • Moore, OK
National Provider Identifier
1225076177
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
2212 Issued in OK
Practice address
1227 N Santa Fe Ave
Moore, OK 73160-1850
Phone
(405) 799-4436
Fax
(405) 793-1546
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 2212 OK Primary

Addresses

Primary practice location

1227 N Santa Fe Ave
Moore, OK 73160-1850

Mailing address

1227 N Santa Fe Ave
Moore, OK 73160-1850
Phone (405) 799-4436

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2212OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sarfraz Ahmed, PLLC Past Accepting new patients

Organizations & group practices 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1225076177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 N SANTA FE AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601850",
            "telephone_number": "405-799-4436",
            "fax_number": "405-793-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 N SANTA FE AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601850",
            "telephone_number": "405-799-4436",
            "fax_number": "405-793-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELLI",
        "first_name": "RICHARD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "OK",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.