Individual provider Active NPI

Nicholas James Rapp, D.C.

  • Chiropractor
  • Rosemount, MN
National Provider Identifier
1659397354
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4788 Issued in MN
Practice address
15170 Chippendale Ave W
Ste 200
Rosemount, MN 55068-2770
Phone
(612) 840-0374
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4788 MN Primary

Addresses

Primary practice location

15170 Chippendale Ave W
Ste 200
Rosemount, MN 55068-2770

Mailing address

15170 Chippendale Ave W
Ste 200
Rosemount, MN 55068-2770
Phone (612) 840-0374

Other identifiers 1

IdentifierTypeStateIssuer
764683600MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000035 MN Practitioner - Chiropractic 6901812577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapp Chiropractic LLCGroup PAC ID 4082803655, 4 clinicians

Practice addresses (Care Compare)

15170 Chippendale Ave W
Suite 200
Rosemount, MN 55068-2769
Phone (651) 423-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rapp Chiropractic LLC Chiropractor CurrentSince Jan 1, 2011 Accepting new patients

Locations

15170 Chippendale Ave W
Ste 200
Rosemount, MN 55068
Phone (651) 423-2900

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1659397354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15170 CHIPPENDALE AVE W",
            "address_2": "STE 200",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550682770",
            "telephone_number": "612-840-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15170 CHIPPENDALE AVE W",
            "address_2": "STE 200",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550682770",
            "telephone_number": "612-840-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPP",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "764683600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.