Individual provider Active NPI

Charles Michael Raper, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1487867248
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4605 Issued in TX
Practice address
2600 Electronic LN
Dallas, TX 75220-1216
Phone
(972) 438-6932
Fax
(214) 902-3475
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4605 TX Primary

Addresses

Primary practice location

2600 Electronic LN
Dallas, TX 75220-1216

Mailing address

2500 Walnut Hill LN
Dallas, TX 75229-5609
Phone (972) 438-6932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140307000536 TX Practitioner - Chiropractic 4385874502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parker University Chiropractor CurrentSince Dec 14, 2013 Accepting new patients

Locations

2500 Walnut Hill Ln
Dallas, TX 75229
Phone (214) 350-1620

2600 Electronic Ln
Dallas, TX 75220
Phone (972) 438-6932

2540 Walnut Hill Ln
Dallas, TX 75229
Phone (214) 902-3447

111 S Delaware St
Irving, TX 75060
Phone (214) 438-9355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23964/brand/1/csg/1/fhir/r4

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487867248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295609",
            "telephone_number": "972-438-6932",
            "fax_number": "214-902-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ELECTRONIC LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752201216",
            "telephone_number": "972-438-6932",
            "fax_number": "214-902-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPER",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.