Jan David Tepper, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E2154 Issued in CA

Practice address

984 W Foothill Blvd
Suite B
Upland, CA 91786-3700

Phone

(909) 920-0884

Fax

(909) 920-9810

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jantepper@jdtdi-ca.direct.office.nextgen.com

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.

• Jan David Tepper, D.P.M., Inc

  • Foot & Ankle Surgery Podiatrist
  • Upland, CA
  • NPI 1851328744
  Medicare reassignment NPD
• Vascular Interventional Partners Inc

  • Vascular & Interventional Radiology Physician
  • West Covina, CA
  • NPI 1306218011
  Medicare reassignment

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1184666299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 W FOOTHILL BLVD",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863700",
            "telephone_number": "909-920-0884",
            "fax_number": "909-920-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 W FOOTHILL BLVD",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863700",
            "telephone_number": "909-920-0884",
            "fax_number": "909-920-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "JAN",
        "middle_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fouad D Tawadrous, M.D.
• Nehal A. Tawansy, M.D.
• Bryan Scott Taylor, M.D.
• Diane Michelle Taylor
• TD Cares LLC
• Tawanna Fleece Terry
• Linda Tetu, LMFT
• Bunsri Thanasophon, M.D.
• The Adaptive Athlete, Inc.
• The Evolve Effect

• Foot & Ankle Surgery Podiatrist in Upland, CA
• Providers in Upland, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.