Individual provider Active NPI

Ralph Gordon Stapel Jr., CH

  • Chiropractor
  • Springville, UT
National Provider Identifier
1497844948
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5685491-1202 Issued in UT
Practice address
269 E 400 S # D
Springville, UT 84663-1900
Phone
(801) 491-8688
Fax
(801) 491-8828
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5685491-1202 UT Primary

Addresses

Primary practice location

269 E 400 S # D
Springville, UT 84663-1900

Mailing address

269 E 400 S # D
Springville, UT 84663-1900
Phone (801) 491-8688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206001238 UT Practitioner - Chiropractic 0345206801 Practice locations: Springville, UT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

230 E 400 S
Suite 1
Springville, UT 84663-1972
Phone (801) 491-8688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1042MTMDClinical Social Worker
5685491-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1497844948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 E 400 S # D",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631900",
            "telephone_number": "801-491-8688",
            "fax_number": "801-491-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 E 400 S # D",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631900",
            "telephone_number": "801-491-8688",
            "fax_number": "801-491-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPEL",
        "first_name": "RALPH",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "CH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5685491-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.