Tyler Jason Pepe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013255-1 Issued in NY

Practice address

3670 S Benzing Rd Ste L
Orchard Park, NY 14127-1741

Phone

(716) 667-2653

Fax

(716) 219-1072

NPI assigned

Jun 7, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Betancourt Chiropractic and Swanson Physical Therapy PLLC

  • Chiropractor
  • Orchard Park, NY
  • NPI 1063124295
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1245899814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 S BENZING RD STE L",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271741",
            "telephone_number": "716-667-2653",
            "fax_number": "716-219-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 S BENZING RD STE L",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271741",
            "telephone_number": "716-667-2653",
            "fax_number": "716-219-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPE",
        "first_name": "TYLER",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013255-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Patterson, DO
• Paul Shields Medicine PLLC
• Paul T Biddle MD PLLC
• Lynn T Pawlak, M.S.
• Julia Caroline Peinkofer, PA-C
• Maria Perez, M.D.
• Carlo M Perfetto, M.D.
• Lauren Marie Pernick
• Tracy H Perrapato, DO
• Lorraine Jeanette Perry, PH.D.

• Chiropractor in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.