Organization Active NPI

Luke Dopps Chiropractic LLC

  • Chiropractor
  • Derby, KS
National Provider Identifier
1356904411
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUKE DOPPS CHIROPRACTIC LLC
Practice address
620 N Baltimore Ave Ste B
Derby, KS 67037-1600
Phone
(316) 260-9775
Fax
(316) 260-9774
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Dr. Luke Dopps, DONPI 1932276482
Title
Owner/Member
Phone
(316) 260-9775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

620 N Baltimore Ave Ste B
Derby, KS 67037-1600

Mailing address

620 N Baltimore Ave Ste B
Derby, KS 67037-1600
Phone (316) 260-9775

Other names 1

  • DOPPS CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190510001160 KS Part B Supplier - Clinic/Group Practice 7214270479 Receives reassigned benefits from 1 practitioner
Practice locations: Derby, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1356904411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N BALTIMORE AVE STE B",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371600",
            "telephone_number": "316-260-9775",
            "fax_number": "316-260-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N BALTIMORE AVE STE B",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371600",
            "telephone_number": "316-260-9775",
            "fax_number": "316-260-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE DOPPS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "DOPPS",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "316-260-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOPPS CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.