Individual provider Active NPI

Stephen P Trapani, DC

  • Chiropractor
  • Walla Walla, WA
National Provider Identifier
1235232877
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2084 Issued in WA
Practice address
1618 E Isaacs Ave
Walla Walla, WA 99362-2206
Phone
(509) 529-4330
Fax
(509) 525-2458
NPI assigned
Sep 7, 2006
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2084 WA Primary

Addresses

Primary practice location

1618 E Isaacs Ave
Walla Walla, WA 99362-2206

Mailing address

1618 E Isaacs Ave
Walla Walla, WA 99362-2206
Phone (509) 529-4330

Other identifiers 2

IdentifierTypeStateIssuer
0172047OtherWADEPARTMENT OF LABOR AND INDUSTRIES
2018653MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001257 WA Practitioner - Chiropractic 9830088319 Practice locations: Walla Walla, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1618 E Isaacs Ave
Walla Walla, WA 99362-2206
Phone (509) 525-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2084WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
American Chiropractic Clinic Chiropractor PastSince Jun 1, 2003 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1235232877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 E ISAACS AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622206",
            "telephone_number": "509-529-4330",
            "fax_number": "509-525-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 E ISAACS AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622206",
            "telephone_number": "509-529-4330",
            "fax_number": "509-525-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAPANI",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR AND INDUSTRIES",
            "identifier": "0172047",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018653",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.