Active NPI
Anthony J Popp Jr., DC
- Chiropractor
- Kalispell, MT
National Provider Identifier
1295728814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 910CHI
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42181 | Other | BCBS | |
| DA7886 | Other | MT | RAILROAD MEDICARE -GROUP |
| P0007206 | Other | MT | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA885 | ID | MD | Chiropractor |
| 910CHI | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back on Track Family Chiropractic Center, Inc. | Chiropractor | Current | Accepting new patients |
| GFC Inc | Chiropractor | Past | 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.
-
- Chiropractor
- Kalispell, MT
- NPI 1811188907
-
- Chiropractor
- Whitefish, MT
- NPI 1134493158
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.