Individual provider Active NPI

Mary Patricia Cupit, D.C.

  • Chiropractor
  • Lawton, OK
National Provider Identifier
1639186505
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3633 Issued in OK
Practice address
5525 NW Cache Rd
Suite 1
Lawton, OK 73505-3300
Phone
(580) 355-1000
Fax
(580) 355-4025
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

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 3633 OK Primary

Addresses

Primary practice location

5525 NW Cache Rd
Suite 1
Lawton, OK 73505-3300

Mailing address

5525 NW Cache Rd
Suite 1
Lawton, OK 73505-3300
Phone (580) 355-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3633OKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639186505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 NW CACHE RD",
            "address_2": "SUITE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053300",
            "telephone_number": "580-355-1000",
            "fax_number": "580-355-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 NW CACHE RD",
            "address_2": "SUITE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053300",
            "telephone_number": "580-355-1000",
            "fax_number": "580-355-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPIT",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.