Active NPI
Charles Cupps
- Chiropractor
- Laramie, WY
National Provider Identifier
1346335437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 514
- Practice address
- 212 E Ivinson
Laramie, WY 82070 - Phone
- (307) 742-4332
- Fax
- (307) 745-1536
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 514 | WY | Primary |
Addresses
Primary practice location
212 E Ivinson
Laramie, WY 82070
Mailing address
212 E Ivinson
Laramie, WY 82070
Phone (307) 742-4332
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1346335437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E IVINSON",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-742-4332",
"fax_number": "307-745-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E IVINSON",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-742-4332",
"fax_number": "307-745-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPPS",
"first_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.