Individual provider Active NPI

Stephen Paris Tupman, D.C.

  • Chiropractor
  • Alton, IL
National Provider Identifier
1528423084
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012916 Issued in IL
Practice address
4105 Humbert Rd Ste 102
Alton, IL 62002-7161
Phone
(618) 463-1600
Fax
(618) 463-1624
NPI assigned
Dec 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012916 IL Primary

Addresses

Primary practice location

4105 Humbert Rd Ste 102
Alton, IL 62002-7161

Mailing address

4105 Humbert Rd
# 102
Alton, IL 62002-7161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161214002491 IL Practitioner - Chiropractic 7113221029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bemis Tupman Chiropractic LLCGroup PAC ID 2163753021, 3 clinicians

Practice addresses (Care Compare)

4105 Humbert Rd
Suite 102
Alton, IL 62002-7161
Phone (618) 463-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bemis Tupman Chiropractic LLC Chiropractor CurrentSince Nov 1, 2019 Accepting new patients

Locations

4105 Humbert Rd
Ste 102
Alton, IL 62002
Phone (618) 463-1600

4105 Humbert Rd
#102
Alton, IL 62002
Phone (618) 463-1600

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1528423084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 HUMBERT RD",
            "address_2": "# 102",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620027161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HUMBERT RD STE 102",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620027161",
            "telephone_number": "618-463-1600",
            "fax_number": "618-463-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUPMAN",
        "first_name": "STEPHEN",
        "middle_name": "PARIS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.