Active NPI
John C Tapp, M.D, F.A.A.F.P, CCD,
- Family Medicine Physician
- Bowling Green, KY
National Provider Identifier
1194799676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14523/DEA#AT3037252
- Practice address
- 414 Old Morgantown Road
Bowling Green, KY 42101-2842 - Phone
- (270) 781-1483
- Fax
- (270) 781-5101
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14523/DEA#AT3037252 | KY | Primary |
| Family Medicine Physician | 207Q00000X | AT3037252 | KY |
Addresses
Primary practice location
414 Old Morgantown Road
Bowling Green, KY 42101-2842
Mailing address
414 Old Morgantown Road
Bowling Green, KY 42101-2842
Phone (270) 781-1483
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64145238 | Medicaid | KY | |
| 0970301 | Other | KY | MEDICARE ID |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C Tapp MD | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBBADA/Endpoint/CBBADA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bowling Green, KY
- NPI 1063696003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1194799676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 OLD MORGANTOWN ROAD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421012842",
"telephone_number": "270-781-1483",
"fax_number": "270-781-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 OLD MORGANTOWN ROAD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421012842",
"telephone_number": "270-781-1483",
"fax_number": "270-781-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPP",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "M.D, F.A.A.F.P, CCD,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "14523/DEA#AT3037252",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "AT3037252",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64145238",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0970301",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.