Individual provider Active NPI

Joseph Walter Papuga, D.C.

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1114357670
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4385 Issued in NC
Practice address
1515 Hanes Mall Blvd
Winston Salem, NC 27103-1358
Phone
(336) 773-7373
NPI assigned
Nov 20, 2013
Last updated
Nov 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4385 NC Primary

Addresses

Primary practice location

1515 Hanes Mall Blvd
Winston Salem, NC 27103-1358

Mailing address

1515 Hanes Mall Blvd
Winston Salem, NC 27103-1358
Phone (336) 773-7373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626001310 IL Practitioner - Chiropractic 6608006697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

311 S Naperville Rd
Suite C
Wheaton, IL 60187-5473
Phone (630) 690-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4385NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Russeau Team Healthcare, LTD. CurrentSince Apr 7, 2018 Accepting new patients
Wheaton Healthcare, LLC CurrentSince Apr 7, 2018 Accepting new patients
Gys Chiro Inc Chiropractor Past Accepting new patients

Locations

311 S Naperville Rd
Ste C
Wheaton, IL 60187
Phone (630) 690-4040

240 E Willow Ave
Ste 103
Wheaton, IL 60187

Organizations & group practices 3

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": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1114357670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HANES MALL BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031358",
            "telephone_number": "336-773-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HANES MALL BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031358",
            "telephone_number": "336-773-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPUGA",
        "first_name": "JOSEPH",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.