Individual provider Active NPI

Tricia Ann Chepanoske, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1457338279
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009759 Issued in PA
Practice address
225 Center Ave
Pittsburgh, PA 15202-1562
Phone
(412) 734-1811
Fax
(412) 734-1886
NPI assigned
Dec 22, 2005
Last updated
May 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5961453-1202 UT
Chiropractor 111N00000X DC009759 PA Primary

Addresses

Primary practice location

225 Center Ave
Pittsburgh, PA 15202-1562

Mailing address

225 Center Ave
Pittsburgh, PA 15202-1562
Phone (412) 734-1811

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5961453-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Avonworth Chiropractic Chiropractor PastSince Sep 11, 2009 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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1457338279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CENTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152021562",
            "telephone_number": "412-734-1811",
            "fax_number": "412-734-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CENTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152021562",
            "telephone_number": "412-734-1811",
            "fax_number": "412-734-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEPANOSKE",
        "first_name": "TRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5961453-1202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009759",
            "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 May 19, 2008; 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.