Active NPI
Ramzi Raif Dalloul, D.C.
- Chiropractor
- Lafayette, CO
National Provider Identifier
1245350222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5231
- Practice address
- 808 S Public Rd Ste 103
Lafayette, CO 80026-2194 - Phone
- (303) 818-0595
- Fax
- (303) 230-4880
- NPI assigned
- Mar 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5231 | CO | Primary |
Addresses
Primary practice location
808 S Public Rd Ste 103
Lafayette, CO 80026-2194
Mailing address
808 S Public Rd Ste 103
Lafayette, CO 80026-2194
Phone (303) 818-0595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070509000555 | CO | Practitioner - Chiropractic | 5597861716 | Practice locations: Lafayette, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
808 S Public Rd
Suite 103
Lafayette, CO 80026-2194
Phone (303) 818-0595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5231 | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1245350222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 S PUBLIC RD STE 103",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262194",
"telephone_number": "303-818-0595",
"fax_number": "720-230-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 S PUBLIC RD STE 103",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262194",
"telephone_number": "303-818-0595",
"fax_number": "303-230-4880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLOUL",
"first_name": "RAMZI",
"middle_name": "RAIF",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-31",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.