Individual provider Active NPI

Andrew Robert Tarry, D.C.

  • Chiropractor
  • Levittown, PA
National Provider Identifier
1477701092
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009997 Issued in PA
Practice address
8025 Mill Creek Pkwy
Levittown, PA 19054-3816
Phone
(215) 547-6969
NPI assigned
Sep 8, 2008
Last updated
Sep 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009997 PA Primary

Addresses

Primary practice location

8025 Mill Creek Pkwy
Levittown, PA 19054-3816

Mailing address

8025 Mill Creek Pkwy
Levittown, PA 19054-3816
Phone (215) 547-6969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000407 PA Practitioner - Chiropractic 0941335731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Chiropractic and Wellness Center, LLC Chiropractor CurrentSince Jul 9, 2014 Accepting new patients

Locations

100 W 3rd Ave
Ste 100
Conshohocken, PA 19428
Phone (610) 825-5606

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1477701092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 MILL CREEK PKWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543816",
            "telephone_number": "215-547-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 MILL CREEK PKWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543816",
            "telephone_number": "215-547-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRY",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.