Active NPI
John Christopher Sipple, D.C.
- Chiropractor
- Berea, KY
National Provider Identifier
1003844267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4487
- Practice address
- 502 Richmond Rd N Ste a
Berea, KY 40403-1151 - Phone
- (859) 986-0007
- Fax
- (859) 986-9007
- NPI assigned
- Jun 28, 2006
- Last updated
- Jun 27, 2011
- 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 | 4487 | KY | Primary |
Addresses
Primary practice location
502 Richmond Rd N Ste a
Berea, KY 40403-1151
Mailing address
502 Richmond Rd N, Suite a
Berea, KY 40403-1151
Phone (859) 986-0007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100143650 | Medicaid | KY | |
| P100019681 | Other | KY | MEDICARE PTAN |
Other names 1
- Chris Sipple
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4487 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sipple & Sipple Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1003844267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 RICHMOND RD N, SUITE A",
"city": "BEREA",
"state": "KY",
"postal_code": "404031151",
"telephone_number": "859-986-0007",
"fax_number": "859-986-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 RICHMOND RD N STE A",
"city": "BEREA",
"state": "KY",
"postal_code": "404031151",
"telephone_number": "859-986-0007",
"fax_number": "859-986-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPPLE",
"first_name": "JOHN",
"middle_name": "CHRISTOPHER",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100143650",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "P100019681",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "SIPPLE",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.