Organization Active NPI

Tejan Chiropractic Inc

Chiropractor
South Heights, PA

National Provider Identifier

1871563619

Registry record updated Jul 28, 2016

On this page

Key facts
NPPES NPI Registry
National Provider Directory
Practitioners & affiliated clinicians
NPI Registry JSON
Other providers in South Heights, PA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: ChiropractorTaxonomy code 111N00000X
License: DC003643L Issued in PA
Legal business name: TEJAN CHIROPRACTIC INC
Practice address: 4012 Jordan Street, Box 420
South Heights, PA 15081-0420
Phone: (724) 375-5534
Fax: (724) 375-5575
NPI assigned: Jan 24, 2006
Last updated: Jul 28, 2016By the provider in NPPES
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name: Dr. Mark S Tejan, DCNPI 1811191125
Title: President
Phone: (724) 375-5534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	DC003643L	PA	Primary

Addresses

Primary practice location

4012 Jordan Street, Box 420
South Heights, PA 15081-0420

Mailing address

4012 Jordan Street, Box 420
South Heights, PA 15081-0420
Phone (724) 375-5534

Other identifiers 11

Identifier	Type	State	Issuer
141190	Medicaid	PA
MT382067	Other	PA	ASHN
200146	Other	PA	UPMC
329860	Other	PA	HEALTH AMERICA
1984961-01	Medicaid	PA
0004258151	Other	PA	AETNA PPO
1198057	Other	PA	CIGNA
0011157650001	Medicaid	PA
2675833	Other	PA	AETNA HMO
381900	Other	PA	UNITED HEALTHCARE
001465580	Other	PA	HIGHMARK BC BS

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Mark Steven Tejan, D.C.
- Chiropractor
- South Heights, PA
- NPI 1811191125
Authorized official Same address or phone

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1871563619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 JORDAN STREET, BOX 420",
            "city": "SOUTH HEIGHTS",
            "state": "PA",
            "postal_code": "150810420",
            "telephone_number": "724-375-5534",
            "fax_number": "724-375-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 JORDAN STREET, BOX 420",
            "city": "SOUTH HEIGHTS",
            "state": "PA",
            "postal_code": "150810420",
            "telephone_number": "724-375-5534",
            "fax_number": "724-375-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJAN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "TEJAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-375-5534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003643L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141190",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "MT382067",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "200146",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "329860",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1984961-01",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0004258151",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1198057",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011157650001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2675833",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "381900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "001465580",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Heights, PA

Mark Steven Tejan, D.C.

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.