Active NPI
Stupak Chiropractic PLLC
- Chiropractor
- Ann Arbor, MI
National Provider Identifier
1730753153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drstupak@stupakchiropractic.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.