Active NPI
Tara Brooke Centra
- Chiropractor
- Reynoldsville, PA
National Provider Identifier
1194132373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010900
- Practice address
- 105 E Main St
Reynoldsville, PA 15851-1244 - Phone
- (814) 653-9514
- Fax
- (814) 653-8842
- NPI assigned
- Jul 19, 2014
- Last updated
- Jan 23, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010900 | PA | Primary |
Addresses
Primary practice location
105 E Main St
Reynoldsville, PA 15851-1244
Mailing address
105 E Main St
Reynoldsville, PA 15851-1244
Phone (814) 653-9514
Other names 1
- Tara Brooke Dean
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1194132373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 E MAIN ST",
"city": "REYNOLDSVILLE",
"state": "PA",
"postal_code": "158511244",
"telephone_number": "814-653-9514",
"fax_number": "814-653-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E MAIN ST",
"city": "REYNOLDSVILLE",
"state": "PA",
"postal_code": "158511244",
"telephone_number": "814-653-9514",
"fax_number": "814-653-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTRA",
"first_name": "TARA",
"middle_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-19",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "DEAN",
"middle_name": "BROOKE",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Reynoldsville, PA
- Angelus Home Health Care LLC
- Bonfire Speech Services
- Corey A Bookhamer, DC
- Nicholas Angelo Centra, DC
- James F Cobbett, PA-C
- Dubois Regional Medical Center (DRMC PCA Reynoldsville)
- Dubois Regional Medical Center
- Dubois Regional Medical Center (Penn Highlands Family Medicine - Kakabadze)
- Dubois Regional Medical Center (McCabe Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.