Individual provider Active NPI

Patrick Gentempo Jr.

  • Chiropractor
  • Park City, UT
National Provider Identifier
1225586852
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004892-1 Issued in NY
Practice address
1776 Park Ave Ste 4-217
Park City, UT 84060-5148
Phone
(201) 345-3370
NPI assigned
Sep 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00265100 NJ
Chiropractor 111N00000X X004892-1 NY Primary
Chiropractor 111N00000X CHIR002031 GA

Addresses

Primary practice location

1776 Park Ave Ste 4-217
Park City, UT 84060-5148

Mailing address

1776 Park Ave Ste 4-217
Park City, UT 84060-5148
Phone (201) 345-3370

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

LicenseStateTypeSpecialty
CHIR002031GAMDChiropractor
38MC00265100NJMDChiropractor
X004892-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1225586852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 PARK AVE STE 4-217",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840605148",
            "telephone_number": "201-345-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 PARK AVE STE 4-217",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840605148",
            "telephone_number": "201-345-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTEMPO",
        "first_name": "PATRICK",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00265100",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004892-1",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.