Courtney Anneliese Tippetts, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-05135 Issued in OH

Practice address

1251 Main St Ste a
Cuyahoga Falls, OH 44221-4917

Phone

(330) 928-2273

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Anneliese Davis Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Topsail ChiropracticGroup PAC ID 8628503430, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Topsail Chiropractic

  • Chiropractor
  • Hampstead, NC
  • NPI 1780420141
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1235895863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 MAIN ST STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442214917",
            "telephone_number": "330-928-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 MAIN ST STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442214917",
            "telephone_number": "330-928-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPETTS",
        "first_name": "COURTNEY",
        "middle_name": "ANNELIESE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "DAVIS",
            "middle_name": "ANNELIESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chiropractor in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.