Organization Active NPI

Siupik Family Chiropractic PC

  • Chiropractor
  • Canton, MI
National Provider Identifier
1255549150
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006046 Issued in MI
Legal business name
SIUPIK FAMILY CHIROPRACTIC PC
Practice address
43423 Joy Rd
Canton, MI 48187-2053
Phone
(734) 354-9900
Fax
(734) 354-8755
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Dr. Karen Siupik, D.C.NPI 1053535393
Title
President
Phone
(734) 354-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301006046 MI Primary

Addresses

Primary practice location

43423 Joy Rd
Canton, MI 48187-2053

Mailing address

43423 Joy Rd
Canton, MI 48187-2053
Phone (734) 354-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070730000031 MI Part B Supplier - Clinic/Group Practice 9335240779 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1255549150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43423 JOY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872053",
            "telephone_number": "734-354-9900",
            "fax_number": "734-354-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43423 JOY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872053",
            "telephone_number": "734-354-9900",
            "fax_number": "734-354-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIUPIK FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "SIUPIK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-354-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.