Active NPI
Alexander Tarpoff II, DC
- Chiropractor
- Pontoon Beach, IL
National Provider Identifier
1801992797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038005772
- Practice address
- 3674 St Rte 111
Pontoon Beach, IL 62040-0397 - Phone
- (618) 797-1242
- Fax
- (618) 931-0530
- NPI assigned
- Sep 16, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038005772 | IL | Primary |
Addresses
Primary practice location
3674 St Rte 111
Pontoon Beach, IL 62040-0397
Mailing address
PO Box 397
Granite City, IL 62040-0397
Phone (618) 797-1242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6045740 | Other | IL | BCBS IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038005772 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1801992797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 397",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620400397",
"telephone_number": "618-797-1242",
"fax_number": "618-931-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3674 ST RTE 111",
"city": "PONTOON BEACH",
"state": "IL",
"postal_code": "620400397",
"telephone_number": "618-797-1242",
"fax_number": "618-931-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARPOFF",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038005772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "6045740",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pontoon Beach, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.