Organization Active NPI

Chuppe Clinic PC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1649285396
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHUPPE CLINIC PC
Practice address
1936 N 11TH St
Bismarck, ND 58501-1914
Phone
(701) 258-0029
Fax
(701) 258-0826
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Callie Frank
Title
Finance Director
Phone
(701) 258-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X ND Primary

Addresses

Primary practice location

1936 N 11TH St
Bismarck, ND 58501-1914

Mailing address

1936 N 11TH St
Bismarck, ND 58501-1914
Phone (701) 258-0029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412000182 ND Part B Supplier - Clinic/Group Practice 4385637891 Receives reassigned benefits from 7 practitioners
Practice locations: Bismarck, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2141293Chuppe Clinic1936 N 11TH St, Bismarck, ND 58501Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory

Locations

1936 N 11th St
Bismarck, ND 58501
Phone (701) 258-0029

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1649285396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011914",
            "telephone_number": "701-258-0029",
            "fax_number": "701-258-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011914",
            "telephone_number": "701-258-0029",
            "fax_number": "701-258-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUPPE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "701-258-0029"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.