Organization Active NPI

Matt Dopps Chiropractic

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1003241902
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104984 Issued in KS
Legal business name
MATT DOPPS CHIROPRACTIC
Practice address
555 N. McLean Blvd.
Wichita, KS 67203
Phone
(316) 265-1575
Fax
(316) 265-5303
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Matt A Dopps, DC
Title
Doctor of Chiropractic
Phone
(316) 265-1575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104984 KS Primary

Addresses

Primary practice location

555 N. McLean Blvd.
Wichita, KS 67203

Mailing address

555 N. McLean Blvd.
Wichita, KS 67203
Phone (316) 265-1575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131209000705 KS Part B Supplier - Clinic/Group Practice 1850528399 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

555 N McLean Blvd
Ste 201
Wichita, KS 67203
Phone (316) 265-1575

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1003241902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N. MCLEAN BLVD.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67203",
            "telephone_number": "316-265-1575",
            "fax_number": "316-265-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N. MCLEAN BLVD.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67203",
            "telephone_number": "316-265-1575",
            "fax_number": "316-265-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT DOPPS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "DOPPS",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "316-265-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.