Individual provider Active NPI

Richard E. Graves

  • Taxi
  • Lafayette, IN
National Provider Identifier
1932376142
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
651212394/0 Issued in IN
Practice address
3265 Teal Rd
Suite 2
Lafayette, IN 47905-2264
Phone
(765) 477-1234
Fax
(765) 477-2345
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X 651212394/0 IN Primary

Addresses

Primary practice location

3265 Teal Rd
Suite 2
Lafayette, IN 47905-2264

Mailing address

3265 Teal Rd
Suite 2
Lafayette, IN 47905-2264
Phone (765) 477-1234

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

State licenses

LicenseStateTypeSpecialty
651212394/0INMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1932376142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 TEAL RD",
            "address_2": "SUITE 2",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052264",
            "telephone_number": "765-477-1234",
            "fax_number": "765-477-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 TEAL RD",
            "address_2": "SUITE 2",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052264",
            "telephone_number": "765-477-1234",
            "fax_number": "765-477-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "IN",
            "license": "651212394/0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.