Active NPI
Douglas J Tepe, DC
- Chiropractor
- Erie, PA
National Provider Identifier
1861479958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004815L
- Practice address
- 3122 State St
Erie, PA 16508-2820 - Phone
- (814) 898-3300
- Fax
- (208) 441-8612
- NPI assigned
- Dec 29, 2005
- 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 | DC004815L | PA | Primary |
Addresses
Primary practice location
3122 State St
Erie, PA 16508-2820
Mailing address
211 Preston Ave
Erie, PA 16511
Phone (814) 898-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012567450004 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tepe Chiropractic Services PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Erie, PA
- NPI 1831655224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1861479958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 PRESTON AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "16511",
"telephone_number": "814-898-3300",
"fax_number": "208-441-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3122 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082820",
"telephone_number": "814-898-3300",
"fax_number": "208-441-8612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPE",
"first_name": "DOUGLAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004815L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012567450004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.