Edward Michael Tirpack II, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01305800 Issued in NJ

Practice address

16 Lafayette Rd
Sparta, NJ 07871-3512

Phone

(973) 729-2113

Fax

(973) 729-2110

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Karen Ann Quinlan Memorial Foundation

  • Community Based Hospice Care Agency
  • Newton, NJ
  • NPI 1285631234

  Corporate Director

  CMS ownership

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.

• Sparta Dental Designs

  • General Practice Dentistry
  • Sparta, NJ
  • NPI 1265451447
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982626313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAFAYETTE RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713512",
            "telephone_number": "973-729-2113",
            "fax_number": "973-729-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LAFAYETTE RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713512",
            "telephone_number": "973-729-2113",
            "fax_number": "973-729-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRPACK",
        "first_name": "EDWARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01305800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katheryn Theesfeld, LCSW
• Scott C Theuret, PT
• Raquel Christina Thormann, LPC
• Three Treasures Acupuncture of New Jersey, LLC
• Nicholas W Tinker, FNP-BC
• Diana Torsiello
• Total Care Physical Therapy of NJ
• Total Spectrum Health PC
• Townsend Physical Therapy and Healthcare
• Tri-County Behavioral Care, LLC

• General Practice Dentistry in Sparta, NJ
• Providers in Sparta, NJ by specialty
• General Practice Dentistry in New Jersey

• 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; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.