Individual provider Active NPI

Paul A Raveling, D.C.

  • Chiropractor
  • Dunedin, FL
National Provider Identifier
1740396076
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004355 Issued in FL
Practice address
1116 Belcher Rd
Dunedin, FL 34698-5631
Phone
(727) 733-0433
Fax
(727) 738-6187
NPI assigned
Aug 21, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0004355 FL Primary

Addresses

Primary practice location

1116 Belcher Rd
Dunedin, FL 34698-5631

Mailing address

1116 Belcher Rd
Dunedin, FL 34698-5631
Phone (727) 733-0433

Other identifiers 2

IdentifierTypeStateIssuer
381502100MedicaidFL
380509300MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0004355FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Garapola and Associates Chiropractic PA Chiropractor CurrentSince Nov 13, 2022 Accepting new patients

Locations

1116 Belcher Rd
Dunedin, FL 34698
Phone (727) 733-0433

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1740396076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 BELCHER RD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985631",
            "telephone_number": "727-733-0433",
            "fax_number": "727-738-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 BELCHER RD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985631",
            "telephone_number": "727-733-0433",
            "fax_number": "727-738-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVELING",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381502100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380509300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.