Individual provider Active NPI

Rick B Roper, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cheyenne, WY
National Provider Identifier
1992820781
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
144 Issued in WY
Practice address
2029 Bluegrass Circle
Suite 2
Cheyenne, WY 82009-7369
Phone
(307) 778-7666
Fax
(307) 632-4465
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 144 WY Primary

Addresses

Primary practice location

2029 Bluegrass Circle
Suite 2
Cheyenne, WY 82009-7369

Mailing address

2029 Bluegrass Circle
Suite 2
Cheyenne, WY 82009-7369
Phone (307) 778-7666

Other identifiers 1

IdentifierTypeStateIssuer
54569MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130515000165 WY Practitioner - Podiatry 4688719370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
144WYMDIntellectual & Developmental Disabilities Psychologist
181NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Associated Podiatrists Foot & Ankle Surgery PastSince May 23, 2008 Accepting new patients

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1992820781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 BLUEGRASS CIRCLE",
            "address_2": "SUITE 2",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097369",
            "telephone_number": "307-778-7666",
            "fax_number": "307-632-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 BLUEGRASS CIRCLE",
            "address_2": "SUITE 2",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097369",
            "telephone_number": "307-778-7666",
            "fax_number": "307-632-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPER",
        "first_name": "RICK",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WY",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54569",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.