Organization Active NPI

Stupak Chiropractic PLLC

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1730753153
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STUPAK CHIROPRACTIC PLLC
Practice address
2311 E Stadium Blvd Ste 109-a
Ann Arbor, MI 48104-4833
Phone
(734) 531-7766
Fax
(855) 492-1570
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Dr. James Philip Stupak, DC
Title
Owner/Member
Phone
(734) 531-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2311 E Stadium Blvd Ste 109-a
Ann Arbor, MI 48104-4833

Mailing address

1788 Brookfield Dr
Ann Arbor, MI 48103-6074
Phone (734) 531-7766

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drstupak@stupakchiropractic.com Direct

National Provider Directory

National Provider Directory

Locations

2311 E Stadium Blvd
Ste 109A
Ann Arbor, MI 48104
Phone (734) 412-8282

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1730753153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 BROOKFIELD DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036074",
            "telephone_number": "734-531-7766",
            "fax_number": "855-492-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 E STADIUM BLVD STE 109-A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044833",
            "telephone_number": "734-531-7766",
            "fax_number": "855-492-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUPAK CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "STUPAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "734-531-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drstupak@stupakchiropractic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2311 E Stadium Blvd Ste 109-A",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481044833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.