Organization Active NPI

Stanford C Rapp DO PC

  • Neurology Physician
  • Waterford, MI
National Provider Identifier
1689691248
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
STANFORD C RAPP DO PC
Practice address
4000 Highland Rd
Suite 101
Waterford, MI 48328-2167
Phone
(248) 682-4600
Fax
(248) 682-4601
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Stanford Conrad Rapp, DO
Title
President
Phone
(248) 682-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MI Primary

Addresses

Primary practice location

4000 Highland Rd
Suite 101
Waterford, MI 48328-2167

Mailing address

7220 Danbrooke
West Bloomfield, MI 48322-2927

National Provider Directory

National Provider Directory

Locations

4000 Highland Rd
Ste 101
Waterford, MI 48328
Phone (248) 270-5622

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1689691248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 DANBROOKE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "SUITE 101",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-682-4600",
            "fax_number": "248-682-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD C RAPP DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-682-4600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.