Individual provider Active NPI

Lisa Beth Hepfer, D.C.

  • Internist Chiropractor
  • Wheaton, MD
National Provider Identifier
1881736098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
S01868 Issued in MD
Practice address
11302 Veirs Mill Rd
Wheaton, MD 20902-2557
Phone
(301) 962-7300
Fax
(301) 962-8952
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X S01868 MD Primary

Addresses

Primary practice location

11302 Veirs Mill Rd
Wheaton, MD 20902-2557

Mailing address

11302 Veirs Mill Rd
Wheaton, MD 20902-2557
Phone (301) 962-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000261 DC Practitioner - Chiropractic 5395923049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11302 Veirs Mill Rd
Wheaton, MD 20902-2557
Phone (301) 962-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01868MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Chiropractic LLC Internist CurrentSince Jan 4, 1998 Accepting new patients

Locations

11302 Veirs Mill Rd
Wheaton, MD 20902
Phone (301) 962-7300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881736098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 VEIRS MILL RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022557",
            "telephone_number": "301-962-7300",
            "fax_number": "301-962-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 VEIRS MILL RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022557",
            "telephone_number": "301-962-7300",
            "fax_number": "301-962-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPFER",
        "first_name": "LISA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MD",
            "license": "S01868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.