Organization Active NPI

Tripp Chiropractic & Nutrition Inc.

  • Chiropractor
  • Hermitage, PA
National Provider Identifier
1497848709
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008724 Issued in PA
Legal business name
TRIPP CHIROPRACTIC & NUTRITION INC.
Practice address
2160 E State St
Hermitage, PA 16148-2728
Phone
(724) 342-5503
Fax
(724) 342-5990
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Dr. Jason C Tripp, DCNPI 1235222332
Title
President
Phone
(724) 342-5503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008724 PA Primary

Addresses

Primary practice location

2160 E State St
Hermitage, PA 16148-2728

Mailing address

2160 E State St
Hermitage, PA 16148-2728
Phone (724) 342-5503

Other identifiers 6

IdentifierTypeStateIssuer
158438100OtherPAOWCP
224556OtherPAHEALTH ASSURANCE
0019531240001MedicaidPA
325563OtherPAUPMC HEALTH
TR1459509OtherPABLUE CROSS BLUE SHIELD
P00217405OtherPARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070725000057 PA Part B Supplier - Clinic/Group Practice 9638270309 Receives reassigned benefits from 1 practitioner
Practice locations: Sharon, PA

National Provider Directory

National Provider Directory

Locations

2160 E State St
Hermitage, PA 16148
Phone (724) 342-5503

495 S Hermitage Rd
Hermitage, PA 16148
Phone (724) 342-5503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1497848709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482728",
            "telephone_number": "724-342-5503",
            "fax_number": "724-342-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482728",
            "telephone_number": "724-342-5503",
            "fax_number": "724-342-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPP CHIROPRACTIC & NUTRITION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-342-5503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "158438100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "224556",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019531240001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH",
            "identifier": "325563",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "TR1459509",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00217405",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.