Active NPI
Matthew Alan Dopps, D.C.
- Chiropractor
- Wichita, KS
National Provider Identifier
1225093404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104984
- Practice address
- 555 N McLean Blvd
Ste 201
Wichita, KS 67203-5847 - Phone
- (316) 265-1575
- Fax
- (316) 425-0222
- NPI assigned
- Apr 19, 2006
- Last updated
- Jan 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104984 | KS | Primary |
Addresses
Primary practice location
555 N McLean Blvd
Ste 201
Wichita, KS 67203-5847
Mailing address
555 N McLean Blvd
Ste 201
Wichita, KS 67203-5847
Phone (316) 265-1575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062264 | Other | KS | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
555 N McLean Blvd
Suite 201
Wichita, KS 67203-5847
Phone (316) 265-1575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104984 | KS | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Wichita, KS
- NPI 1003241902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1225093404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N MCLEAN BLVD",
"address_2": "STE 201",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035847",
"telephone_number": "316-265-1575",
"fax_number": "316-425-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N MCLEAN BLVD",
"address_2": "STE 201",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035847",
"telephone_number": "316-265-1575",
"fax_number": "316-425-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOPPS",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "0104984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "062264",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.