Organization Active NPI

Klumpp Family Chiropractic P.C.

  • Chiropractor
  • Marquette, MI
National Provider Identifier
1053546580
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008874 Issued in MI
Legal business name
KLUMPP FAMILY CHIROPRACTIC P.C.
Practice address
310 W Washington St
Ste 300
Marquette, MI 49855-4334
Phone
(906) 228-9800
Fax
(906) 228-9801
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Edward Allen Klumpp Sr., D.C.NPI 1932120722
Title
Doctor/ Owner
Phone
(906) 228-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008874 MI Primary

Addresses

Primary practice location

310 W Washington St
Ste 300
Marquette, MI 49855-4334

Mailing address

310 W Washington St
Suite 300
Marquette, MI 49855-4334
Phone (906) 228-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090630000373 MI Part B Supplier - Clinic/Group Practice 5698826725 Receives reassigned benefits from 1 practitioner
Practice locations: Marquette, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1053546580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W WASHINGTON ST",
            "address_2": "SUITE 300",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554334",
            "telephone_number": "906-228-9800",
            "fax_number": "906-228-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W WASHINGTON ST",
            "address_2": "STE 300",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554334",
            "telephone_number": "906-228-9800",
            "fax_number": "906-228-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLUMPP FAMILY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "KLUMPP",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "906-228-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.