Individual provider Active NPI

Joshua Paul Kupchella, D.C.

  • Chiropractor
  • Johnstown, PA
National Provider Identifier
1124316229
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010429 Issued in PA
Practice address
335 Nees Ave
Johnstown, PA 15904-1239
Phone
(814) 266-3226
Fax
(814) 262-0656
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010429 PA Primary

Addresses

Primary practice location

335 Nees Ave
Johnstown, PA 15904-1239

Mailing address

335 Nees Ave
Johnstown, PA 15904-1239
Phone (814) 266-3226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812007887 PA Practitioner - Chiropractic 0547575011

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Chiropractic, LLCGroup PAC ID 8729166269, 3 clinicians

Practice addresses (Care Compare)

335 Nees Ave
Johnstown, PA 15904-1239
Phone (814) 266-3226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010429PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Family Chiropractic Clinic PC Chiropractor Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1124316229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NEES AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041239",
            "telephone_number": "814-266-3226",
            "fax_number": "814-262-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NEES AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041239",
            "telephone_number": "814-266-3226",
            "fax_number": "814-262-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPCHELLA",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.