Individual provider Active NPI

Karen Ellen Siupik

  • Chiropractor
  • Canton, MI
National Provider Identifier
1053535393
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006046 Issued in MI
Practice address
43423 Joy Rd
Canton, MI 48187-2053
Phone
(734) 354-9900
Fax
(734) 354-8755
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006046 MI Primary

Addresses

Primary practice location

43423 Joy Rd
Canton, MI 48187-2053

Mailing address

43423 Joy Rd
Canton, MI 48187-2053
Phone (734) 354-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000040 MI Practitioner - Chiropractic 6507967940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43423 Joy Rd
Canton, MI 48187-2053
Phone (734) 354-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301006046MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Siupik Family Chiropractic PC Chiropractor CurrentSince Feb 23, 1999 Accepting new patients

Locations

43423 Joy Rd
Canton, MI 48187
Phone (734) 354-9900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1053535393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43423 JOY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872053",
            "telephone_number": "734-354-9900",
            "fax_number": "734-354-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43423 JOY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872053",
            "telephone_number": "734-354-9900",
            "fax_number": "734-354-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIUPIK",
        "first_name": "KAREN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.