Active NPI
Roger Carper, MT
- Massage Therapist
- Chico, CA
National Provider Identifier
1639193121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0400551M
- Practice address
- 1025 Village LN
Chico, CA 95926-2812 - Phone
- (530) 566-0132
- Fax
- (530) 566-1682
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0400551M | CA | Primary |
Addresses
Primary practice location
1025 Village LN
Chico, CA 95926-2812
Mailing address
1025 Village LN
Chico, CA 95926-2812
Phone (530) 566-0132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400551M | Other | CA | MASSAGE THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400551M | CA | MD | Massage Therapist |
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": "1239926400000",
"number": "1639193121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 VILLAGE LN",
"city": "CHICO",
"state": "CA",
"postal_code": "959262812",
"telephone_number": "530-566-0132",
"fax_number": "530-566-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 VILLAGE LN",
"city": "CHICO",
"state": "CA",
"postal_code": "959262812",
"telephone_number": "530-566-0132",
"fax_number": "530-566-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPER",
"first_name": "ROGER",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2009-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "0400551M",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "0400551M",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.