Individual provider Active NPI

Richard Milton Tiegen, A.P., D.M.D.

  • Acupuncturist
  • Jupiter, FL
National Provider Identifier
1316078447
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP691 Issued in FL
Practice address
4601 Military TRL Ste 205
Jupiter, FL 33458-4837
Phone
(561) 624-9744
Fax
(561) 623-0845
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP691 FL Primary

Addresses

Primary practice location

4601 Military TRL Ste 205
Jupiter, FL 33458-4837

Mailing address

4601 Military TRL Ste 205
Jupiter, FL 33458-4837
Phone (561) 624-9744

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
AP691FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Health Systems Inc CurrentSince Dec 1, 2019 Accepting new patients

Locations

4601 Military Trl
Ste 205
Jupiter, FL 33458
Phone (561) 624-9744

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1316078447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL STE 205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584837",
            "telephone_number": "561-624-9744",
            "fax_number": "561-623-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL STE 205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584837",
            "telephone_number": "561-624-9744",
            "fax_number": "561-623-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEGEN",
        "first_name": "RICHARD",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "A.P., D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.