Individual provider Active NPI

Randy Paul Tabita, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1285866566
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010194 Issued in PA
Practice address
1927 E Carson St
Pittsburgh, PA 15203-1835
Phone
(412) 381-4422
Fax
(412) 281-8503
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008523 GA
Chiropractor 111N00000X DC010194 PA Primary

Addresses

Primary practice location

1927 E Carson St
Pittsburgh, PA 15203-1835

Mailing address

1927 E Carson St
Pittsburgh, PA 15203-1835
Phone (412) 381-4422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000328 PA Practitioner - Chiropractic 4082756218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Well Chiropractic PCGroup PAC ID 1658465349, 4 clinicians

Practice addresses (Care Compare)

1634 Quaker Valley Rd
New Paris, PA 15554-8509
Phone (814) 624-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008523GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Chiropractic, P.C. Chiropractor CurrentSince Oct 1, 2018 Accepting new patients
Newman Chiropractic, PC Chiropractor PastSince May 2, 2015 Accepting new patients
Medical Frontiers, LLC Past Accepting new patients
Fox Chapel Chiropractic and Wellness PC Chiropractor PastSince Nov 1, 2017 Accepting new patients

Locations

1634 Quaker Valley Rd
New Paris, PA 15554
Phone (814) 285-6412

1634 Quaker Valley Rd
#2
New Paris, PA 15554
Phone (814) 624-0606

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1285866566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031835",
            "telephone_number": "412-381-4422",
            "fax_number": "412-281-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031835",
            "telephone_number": "412-381-4422",
            "fax_number": "412-281-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABITA",
        "first_name": "RANDY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008523",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.