Organization Active NPI

James P. Stupak, D.C., PLC

  • Clinic/Center
  • Perrysburg, OH
National Provider Identifier
1255513966
Registry record updated May 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2301009357 Issued in MI
Legal business name
JAMES P. STUPAK, D.C., PLC
Practice address
580 Craig Dr # 8-133
Perrysburg, OH 43551-1778
Phone
(316) 992-6338
NPI assigned
Dec 4, 2007
Last updated
May 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2008

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

Authorized official

Name
Dr. James P Stupak, D.C.
Title
Owner
Phone
(316) 992-6338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2301009357 MI Primary

Addresses

Primary practice location

580 Craig Dr # 8-133
Perrysburg, OH 43551-1778

Mailing address

580 Craig Dr # 8-133
Perrysburg, OH 43551-1778
Phone (316) 992-6338

National Provider Directory

National Provider Directory

Locations

580 Craig Dr
#8133
Perrysburg, OH 43551
Phone (316) 992-6338

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209859200000",
    "number": "1255513966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 CRAIG DR # 8-133",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511778",
            "telephone_number": "316-992-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CRAIG DR # 8-133",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511778",
            "telephone_number": "316-992-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P. STUPAK, D.C., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-05-04",
        "status": "A",
        "authorized_official_last_name": "STUPAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-992-6338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301009357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.