Individual provider Active NPI

Gregory C Tarnow, DC

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1164416558
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003649 Issued in PA
Practice address
1358 Poplar Street
Pittsburgh, PA 15205-1520
Phone
(412) 922-2010
Fax
(412) 922-5652
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003649 PA Primary

Addresses

Primary practice location

1358 Poplar Street
Pittsburgh, PA 15205-1520

Mailing address

1358 Poplar St
Crafton, PA 15205-4156
Phone (412) 922-2010

Other identifiers 3

IdentifierTypeStateIssuer
102473OtherUPMC
532363MedicaidPA
627757OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000559 PA Practitioner - Chiropractic 5799843652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1358 Poplar St
Crafton, PA 15205-4156
Phone (412) 922-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003649PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back and Neck Care Center P.C. Chiropractor CurrentSince Sep 23, 2008 Accepting new patients

Locations

1358 Poplar St
Crafton, PA 15205
Phone (412) 922-2010

2165 Noblestown Rd
Pittsburgh, PA 15205
Phone (412) 922-2010

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1164416558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 POPLAR ST",
            "city": "CRAFTON",
            "state": "PA",
            "postal_code": "152054156",
            "telephone_number": "412-922-2010",
            "fax_number": "412-922-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 POPLAR STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051520",
            "telephone_number": "412-922-2010",
            "fax_number": "412-922-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNOW",
        "first_name": "GREGORY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "003649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "102473",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "532363",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "627757",
            "state": null
        }
    ],
    "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 Aug 14, 2019; 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.