Individual provider Active NPI

Anthony J Popp Jr., DC

  • Chiropractor
  • Kalispell, MT
National Provider Identifier
1295728814
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
910CHI Issued in MT
Practice address
5 S Meridian Rd
Kalispell, MT 59901-4263
Phone
(406) 755-1001
Fax
(406) 755-1862
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 910CHI MT Primary
Chiropractor 111N00000X CHIA885 ID

Addresses

Primary practice location

5 S Meridian Rd
Kalispell, MT 59901-4263

Mailing address

5 S Meridian Rd
Kalispell, MT 59901-4263
Phone (406) 755-1001

Other identifiers 3

IdentifierTypeStateIssuer
42181OtherBCBS
DA7886OtherMTRAILROAD MEDICARE -GROUP
P0007206OtherMTRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA885IDMDChiropractor
910CHIMTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track Family Chiropractic Center, Inc. Chiropractor CurrentSince Dec 29, 2003 Accepting new patients
GFC Inc Chiropractor PastSince Dec 29, 2003 Accepting new patients

Locations

5 S Meridian Rd
Kalispell, MT 59901
Phone (406) 755-1001

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1295728814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S MERIDIAN RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014263",
            "telephone_number": "406-755-1001",
            "fax_number": "406-755-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S MERIDIAN RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014263",
            "telephone_number": "406-755-1001",
            "fax_number": "406-755-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPP",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "910CHI",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "42181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE -GROUP",
            "identifier": "DA7886",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0007206",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.