Individual provider Active NPI

Robert Wesley Tinklepaugh II

  • Home Modifications Contractor
  • Lewiston, NY
National Provider Identifier
1437402484
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Practice address
4769 Lower River Rd
Lewiston, NY 14092-1038
Phone
(716) 609-1502
Fax
(866) 910-3896
NPI assigned
Oct 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X NY Primary

Addresses

Primary practice location

4769 Lower River Rd
Lewiston, NY 14092-1038

Mailing address

4769 Lower River Rd
Lewiston, NY 14092-1038
Phone (716) 609-1502

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

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1437402484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4769 LOWER RIVER RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921038",
            "telephone_number": "716-609-1502",
            "fax_number": "866-910-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4769 LOWER RIVER RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921038",
            "telephone_number": "716-609-1502",
            "fax_number": "866-910-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKLEPAUGH",
        "first_name": "ROBERT",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.