Organization Active NPI

TPJK Inc

  • Durable Medical Equipment & Medical Supplies
  • Warrenton, VA
National Provider Identifier
1831403104
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TPJK INC
Practice address
67 Main St
Warrenton, VA 20186-3421
Phone
(540) 347-4330
Fax
(540) 347-4330
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Dana Conrad Kowasic, PEDORTHIST
Title
President
Phone
(540) 347-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X VA Primary

Addresses

Primary practice location

67 Main St
Warrenton, VA 20186-3421

Mailing address

67 Main St
Warrenton, VA 20186-3421
Phone (540) 347-4330

Other names 1

  • The Shoe Center- Healthy Footwear Doing business as

National Provider Directory

National Provider Directory

Locations

67 Main St
Warrenton, VA 20186
Phone (540) 347-4330

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831403104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAIN ST",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863421",
            "telephone_number": "540-347-4330",
            "fax_number": "540-347-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MAIN ST",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863421",
            "telephone_number": "540-347-4330",
            "fax_number": "540-347-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPJK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOWASIC",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-347-4330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shoe Center- Healthy Footwear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.