Individual provider Active NPI

Sean S Dupilka, D.C.

  • Chiropractor
  • Salem, MA
National Provider Identifier
1497870414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2287 Issued in MA
Practice address
48 Congress St
Salem, MA 01970-5137
Phone
(978) 745-6224
Fax
(978) 745-8112
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2287 MA Primary

Addresses

Primary practice location

48 Congress St
Salem, MA 01970-5137

Mailing address

48 Congress St
Salem, MA 01970-5137
Phone (978) 745-6224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000969 MA Practitioner - Chiropractic 5092798439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

48 Congress St
Salem, MA 01970-5137
Phone (978) 745-6224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2287MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dupilka Family Chiropractic, P.C. Chiropractor CurrentSince Aug 2, 2002 Accepting new patients

Locations

48 Congress St
Salem, MA 01970
Phone (978) 745-6224

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497870414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CONGRESS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705137",
            "telephone_number": "978-745-6224",
            "fax_number": "978-745-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CONGRESS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705137",
            "telephone_number": "978-745-6224",
            "fax_number": "978-745-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPILKA",
        "first_name": "SEAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.