Individual provider Active NPI

Jason C Tripp, DC

  • Chiropractor
  • Hermitage, PA
National Provider Identifier
1235222332
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008724 Issued in PA
Practice address
2160 E State St
Hermitage, PA 16148-2728
Phone
(724) 342-5503
Fax
(724) 342-5990
NPI assigned
Oct 2, 2006
Last updated
Feb 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008724 PA Primary

Addresses

Primary practice location

2160 E State St
Hermitage, PA 16148-2728

Mailing address

2160 E State St
Hermitage, PA 16148-2728
Phone (724) 342-5503

Other identifiers 6

IdentifierTypeStateIssuer
0019531240001MedicaidPA
224556OtherPAHEALTH ASSURANCE
325563OtherPAUPMC
P00217405OtherPARAILROAD MEDICARE
158438100OtherPAOWCP
1528661OtherPAGATEWAY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000128 PA Practitioner - Chiropractic 7911961743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1392 E State St
Sharon, PA 16146-3231
Phone (724) 342-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC008724PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tripp Chiropractic & Nutrition Inc. Chiropractor CurrentSince Oct 6, 2006 Accepting new patients

Locations

155 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 983-0442

2160 E State St
Hermitage, PA 16148
Phone (724) 342-5503

495 S Hermitage Rd
Hermitage, PA 16148
Phone (724) 342-5503

1392 E State St
Sharon, PA 16146
Phone (724) 342-2225

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1235222332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482728",
            "telephone_number": "724-342-5503",
            "fax_number": "724-342-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482728",
            "telephone_number": "724-342-5503",
            "fax_number": "724-342-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "JASON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019531240001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "224556",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "325563",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00217405",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "158438100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1528661",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.