Active NPI
Tyson Adlai Schrepel, LAC, CBP
- Acupuncturist
- Lakewood, CO
National Provider Identifier
1134482227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1783
- Practice address
- 390 Union Blvd
Lakewood, CO 80228-1510 - Phone
- (303) 807-1377
- NPI assigned
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1783 | CO | Primary |
Addresses
Primary practice location
390 Union Blvd
Lakewood, CO 80228-1510
Mailing address
12583 W 2ND Dr
Lakewood, CO 80228-5014
Phone (303) 807-1377
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1783 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1134482227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12583 W 2ND DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802285014",
"telephone_number": "303-807-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 UNION BLVD",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281510",
"telephone_number": "303-807-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREPEL",
"first_name": "TYSON",
"middle_name": "ADLAI",
"credential": "LAC, CBP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "1783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.