Individual provider Active NPI

Gregory P Chuppe, D.C.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1124048665
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
454 Issued in ND
Practice address
1936 N 11TH St
Bismarck, ND 58501-1914
Phone
(701) 258-0029
Fax
(701) 258-0826
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 454 ND Primary

Addresses

Primary practice location

1936 N 11TH St
Bismarck, ND 58501-1914

Mailing address

1936 N 11TH St
Bismarck, ND 58501-1914
Phone (701) 258-0029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000522 ND Practitioner - Chiropractic 2365495579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Chuppe Clinic PCGroup PAC ID 4385637891, 7 clinicians

Practice addresses (Care Compare)

1936 N 11TH St
Bismarck, ND 58501-1914
Phone (701) 258-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
454NDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chuppe Clinic PC Chiropractor CurrentSince Oct 1, 1988 Accepting new patients
Central Dakota Radiologists PC Past Accepting new patients

Locations

1936 N 11th St
Bismarck, ND 58501
Phone (701) 258-0029

Organizations & group practices 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124048665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011914",
            "telephone_number": "701-258-0029",
            "fax_number": "701-258-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011914",
            "telephone_number": "701-258-0029",
            "fax_number": "701-258-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUPPE",
        "first_name": "GREGORY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.