Active NPI
Joseph R Dupper, DPM
- Podiatrist
- Decatur, AL
National Provider Identifier
1447326442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 158
- Practice address
- 2828 Highway 31 S Ste 116
Decatur, AL 35603-1538 - Phone
- (256) 340-1500
- Fax
- (256) 340-1566
- NPI assigned
- Nov 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 158 | AL | Primary |
Addresses
Primary practice location
2828 Highway 31 S Ste 116
Decatur, AL 35603-1538
Mailing address
2828 Highway 31 S Ste 116
Decatur, AL 35603-1538
Phone (256) 340-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07741 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120314000365 | AL | Practitioner - Podiatry | 8123287992 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kajo Medical PC | Podiatrist | Current | Accepting new patients |
Locations
2422 Danville Rd SW
Ste C
Decatur, AL 35603
Phone (256) 340-1500
2828 Highway 31 S
Ste 116
Decatur, AL 35603
Phone (256) 340-1500
Organizations & group practices 1
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": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1447326442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 HIGHWAY 31 S STE 116",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031538",
"telephone_number": "256-340-1500",
"fax_number": "256-340-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 HIGHWAY 31 S STE 116",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031538",
"telephone_number": "256-340-1500",
"fax_number": "256-340-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPPER",
"first_name": "JOSEPH",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AL",
"license": "158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "07741",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.