Organization Active NPI

Robert Tieperman DC PA

  • Chiropractor
  • Madisonville, TX
National Provider Identifier
1831400183
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROBERT TIEPERMAN DC PA
Practice address
604 S Madison St
Madisonville, TX 77864-1956
Phone
(936) 348-9112
Fax
(936) 348-9114
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Dr. Robert T Tieperman, DCNPI 1619971348
Title
President
Phone
(936) 348-9112

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 TX Primary

Addresses

Primary practice location

604 S Madison St
Madisonville, TX 77864-1956

Mailing address

604 S Madison St
Madisonville, TX 77864-1956
Phone (936) 348-9112

Other names 1

  • Tieperman Chiropractic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110225000299 TX Part B Supplier - Clinic/Group Practice 2062693971 Receives reassigned benefits from 1 practitioner
Practice locations: Madisonville, TX

National Provider Directory

National Provider Directory

Locations

2700 W Commerce St
Buffalo, TX 75831

604 S Madison St
Madisonville, TX 77864
Phone (936) 348-2708

331 N May St
Madisonville, TX 77864
Phone (936) 348-9112

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": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1831400183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MADISON ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778641956",
            "telephone_number": "936-348-9112",
            "fax_number": "936-348-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MADISON ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778641956",
            "telephone_number": "936-348-9112",
            "fax_number": "936-348-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT TIEPERMAN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "TIEPERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-348-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tieperman Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madisonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.