Active NPI
Paul D. Pepper Jr., F.D.
- Funeral Director
- Canton, PA
National Provider Identifier
1669787263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Funeral Director
- License
- FO013251-L
- Practice address
- 578 Springbrook Drive
Canton, PA 17724-0173 - Phone
- (570) 673-4333
- Fax
- (570) 673-4330
- NPI assigned
- Aug 9, 2010
- Last updated
- Aug 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Funeral Director | 176P00000X | FO013251-L | PA | Primary |
Addresses
Primary practice location
578 Springbrook Drive
Canton, PA 17724-0173
Mailing address
PO Box 173
Canton, PA 17724-0173
Phone (570) 673-4333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FO013251-L | PA | MD | Funeral Director |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1669787263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173",
"city": "CANTON",
"state": "PA",
"postal_code": "177240173",
"telephone_number": "570-673-4333",
"fax_number": "570-673-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 SPRINGBROOK DRIVE",
"city": "CANTON",
"state": "PA",
"postal_code": "177240173",
"telephone_number": "570-673-4333",
"fax_number": "570-673-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPER",
"first_name": "PAUL",
"middle_name": "D.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "F.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-09",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "176P00000X",
"taxonomy_group": "",
"desc": "Funeral Director",
"state": "PA",
"license": "FO013251-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.