Individual provider Active NPI

Floyd J Strupe III, DC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1609081397
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1219 Issued in NC
Practice address
128 N Spruce St
Winston Salem, NC 27101
Phone
(336) 722-2011
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 1219 NC Primary

Addresses

Primary practice location

128 N Spruce St
Winston Salem, NC 27101

Mailing address

128 N Spruce St
Winston Salem, NC 27101
Phone (336) 722-2011

Other identifiers 1

IdentifierTypeStateIssuer
08838OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000744 NC Practitioner - Chiropractic 6709964158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

128 N Spruce St
Winston Salem, NC 27101-2734
Phone (336) 722-2011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1219NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Strupe Chiropractic Center, PA CurrentSince Jan 12, 1994 Accepting new patients

Locations

128 N Spruce St
Winston Salem, NC 27101
Phone (336) 722-2011

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1609081397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N SPRUCE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-722-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N SPRUCE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-722-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUPE",
        "first_name": "FLOYD",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.