Individual provider Active NPI

Thomas S Rupolo, D.C.

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1609880855
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006307 Issued in FL
Practice address
1825 Forest Hill Blvd
Suite 202
West Palm Beach, FL 33406-8902
Phone
(561) 966-6171
NPI assigned
Jul 27, 2006
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 CH0006307 FL Primary

Addresses

Primary practice location

1825 Forest Hill Blvd
Suite 202
West Palm Beach, FL 33406-8902

Mailing address

7183 Tradition Cove LN W
West Palm Beach, FL 33412-3017
Phone (561) 626-2621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122001008 FL Practitioner - Chiropractic 2860688488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006307FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Rupolo DC PA Chiropractor CurrentSince Sep 28, 2010 Accepting new patients
Shapiro and Borenstein Dermatology LLP Past Accepting new patients

Locations

1825 Forest Hill Blvd
Ste 202
West Palm Beach, FL 33406
Phone (561) 966-6171

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609880855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7183 TRADITION COVE LN W",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334123017",
            "telephone_number": "561-626-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FOREST HILL BLVD",
            "address_2": "SUITE 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334068902",
            "telephone_number": "561-966-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPOLO",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

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.