Mark Cupps DC, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

514 Issued in WY

Legal business name

MARK CUPPS DC, PC

Practice address

212 E Ivinson Ave
Laramie, WY 82070-3039

Phone

(307) 742-4332

Fax

(307) 745-1536

NPI assigned

Aug 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Charles Mark Cupps, D.C.

Title

Corporate President

Phone

(307) 742-4332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brent Levi Bondurant, D.C.

  • Chiropractor
  • Laramie, WY
  • NPI 1740384452
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1346472289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E IVINSON AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703039",
            "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 AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703039",
            "telephone_number": "307-742-4332",
            "fax_number": "307-745-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK CUPPS DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "CUPPS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "307-742-4332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talytha Mansker
• Krista Marie-Merezko Manton, LPC
• Tracey Manyani
• Maia Marces
• Heidi March, MSN, APRN, FNP-BC
• Jessica Susan Marker
• Chrystal Marlow
• Jacob Marlow, PTA
• Jacob Marquez
• Damien Marsh

• Chiropractor in Laramie, WY
• Providers in Laramie, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.