Individual provider Active NPI

Alex Hale Tauberg, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1043750698
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011258 Issued in PA
Practice address
55 Alpha Dr W Ste 6
Pittsburgh, PA 15238-1419
Phone
(412) 517-8124
NPI assigned
Mar 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011258 PA Primary

Addresses

Primary practice location

55 Alpha Dr W Ste 6
Pittsburgh, PA 15238-1419

Mailing address

648 Woodvalley Dr
Pittsburgh, PA 15238-2135
Phone (412) 805-1558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927003955 PA Practitioner - Chiropractic 1557635687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Alpha Dr W
Suite 6
Pittsburgh, PA 15238-1419
Phone (412) 517-8124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011258PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Pittsburgh Chiropractor LLC Chiropractor CurrentSince Aug 22, 2017 Accepting new patients
Kimmey Enterprises Chiropractor PastSince Aug 26, 2013 Accepting new patients

Locations

5332 William Flynn Hwy
Gibsonia, PA 15044
Phone (724) 444-1066

55 Alpha Dr W
Ste 6
Pittsburgh, PA 15238
Phone (412) 517-8124

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1043750698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 WOODVALLEY DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382135",
            "telephone_number": "412-805-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ALPHA DR W STE 6",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381419",
            "telephone_number": "412-517-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBERG",
        "first_name": "ALEX",
        "middle_name": "HALE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.