Individual provider Active NPI

Austin Connor Zuppe, DC

  • Chiropractor
  • Aliquippa, PA
National Provider Identifier
1114788270
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011896 Issued in PA
Practice address
2253 Brodhead Rd
Aliquippa, PA 15001-4675
Phone
(724) 203-0783
NPI assigned
Jan 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011896 PA Primary

Addresses

Primary practice location

2253 Brodhead Rd
Aliquippa, PA 15001-4675

Mailing address

1023 Lexington Dr
Aliquippa, PA 15001-9559
Phone (724) 683-1079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003252 PA Practitioner - Chiropractic 3072957596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Chiropractic and Sports MedicineGroup PAC ID 9537317565, 2 clinicians

Practice addresses (Care Compare)

2253 Brodhead Rd
Aliquippa, PA 15001-4675
Phone (724) 203-0783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011896PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Chiropractic and Sports Medicine Chiropractor CurrentSince Jan 17, 2024 Accepting new patients

Locations

2253 Brodhead Rd
Aliquippa, PA 15001
Phone (724) 203-0783

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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1114788270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 LEXINGTON DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150019559",
            "telephone_number": "724-683-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 BRODHEAD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014675",
            "telephone_number": "724-203-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUPPE",
        "first_name": "AUSTIN",
        "middle_name": "CONNOR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.