Individual provider Active NPI

Jon Richard Tapio, BOC ORTHOTIST

  • Orthotist
  • Republic, MI
National Provider Identifier
1336683358
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
431 Front Street
Republic, MI 49879
Phone
(906) 376-8000
Fax
(616) 884-8119
NPI assigned
Dec 9, 2016
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU Primary
Health Information Specialist/Technologist 246Y00000X EIN81-4646362 MI

Addresses

Primary practice location

431 Front Street
Republic, MI 49879

Mailing address

431 Front Street
Republic, MI 49879
Phone (906) 376-8000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Orthotics LLC Past Accepting new patients

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": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1336683358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 FRONT STREET",
            "city": "REPUBLIC",
            "state": "MI",
            "postal_code": "49879",
            "telephone_number": "906-376-8000",
            "fax_number": "616-884-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 FRONT STREET",
            "city": "REPUBLIC",
            "state": "MI",
            "postal_code": "49879",
            "telephone_number": "906-376-8000",
            "fax_number": "616-884-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIO",
        "first_name": "JON",
        "middle_name": "RICHARD",
        "credential": "BOC ORTHOTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-09",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": "MI",
            "license": "EIN81-4646362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Republic, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.