Individual provider Active NPI

Paul Guptill, DC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1295503779
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1193 Issued in ND
Practice address
2000 N 19TH St
Bismarck, ND 58501-2159
Phone
(701) 255-5000
Fax
(701) 255-5001
NPI assigned
Dec 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1193 ND Primary

Addresses

Primary practice location

2000 N 19TH St
Bismarck, ND 58501-2159

Mailing address

2000 N 19TH St
Bismarck, ND 58501-2159
Phone (701) 255-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109002432 ND Practitioner - Chiropractic 0446601918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Adjust Life, LTDGroup PAC ID 2264519271, 2 clinicians

Practice addresses (Care Compare)

2000 N 19TH St
Adjust Life
Bismarck, ND 58501-2159
Phone (701) 255-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adjust Life, LTD Chiropractor CurrentSince Dec 26, 2023 Accepting new patients
Jonathan Chiropractic PC Chiropractor PastSince Dec 17, 2023 Accepting new patients

Locations

2000 N 19th St
Bismarck, ND 58501
Phone (701) 222-8322

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": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1295503779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N 19TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012159",
            "telephone_number": "701-255-5000",
            "fax_number": "701-255-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N 19TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012159",
            "telephone_number": "701-255-5000",
            "fax_number": "701-255-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTILL",
        "first_name": "PAUL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1193",
            "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 Dec 14, 2023; 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.