Individual provider Active NPI

Angela L Graper, D.C.

  • Chiropractor
  • Chanhassen, MN
National Provider Identifier
1871874248
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5523 Issued in MN
Practice address
18924 Lake Dr E
Chanhassen, MN 55317-9348
Phone
(952) 474-1949
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5523 MN Primary

Addresses

Primary practice location

18924 Lake Dr E
Chanhassen, MN 55317-9348

Mailing address

18924 Lake Dr E
Chanhassen, MN 55317-9348
Phone (952) 474-1949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000528 MN Practitioner - Chiropractic 6709048077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Focus Chiropractic LLCGroup PAC ID 5890957161, 2 clinicians

Practice addresses (Care Compare)

18924 Lake Dr E
Chanhassen, MN 55317-9348
Phone (952) 474-1949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5523MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Focus Chiropractic, LLC Chiropractor CurrentSince Mar 5, 2012 Accepting new patients

Locations

18924 Lake Dr E
Chanhassen, MN 55317
Phone (952) 474-1949

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1871874248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18924 LAKE DR E",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179348",
            "telephone_number": "952-474-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18924 LAKE DR E",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179348",
            "telephone_number": "952-474-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAPER",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.