Collin Kuoppala, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

128097 Issued in AK

Practice address

2201 Dunn St Ste 2
Juneau, AK 99801-9480

Phone

(907) 796-3333

Fax

(907) 796-3334

NPI assigned

Dec 21, 2017

Last updated

Dec 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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 WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

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.

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• Kudick Chiropractic P.S.

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• Better Health Alaska

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  • NPI 1043955917
  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1073029377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 OLD SEWARD HWY STE E",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152000",
            "telephone_number": "907-743-0124",
            "fax_number": "907-346-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 DUNN ST STE 2",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019480",
            "telephone_number": "907-796-3333",
            "fax_number": "907-796-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUOPPALA",
        "first_name": "COLLIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "128097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Kriletich-Bruce, PHARM.D.
• Bargavi Krishnan, MS,MSW,MPHIL,MS
• Melanie Kroll
• Maxwell Daniel Kubitz, DDS
• Bridget Kuhar
• Erin Kusek
• Diane Kyser
• Kimberly Laboca
• Corle Laforce-McPherson, MA
• John Lager

• Chiropractor in Juneau, AK
• Providers in Juneau, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.