Organization Active NPI

Stupka Chiropractic & Wellness Center, LLC

  • Chiropractor
  • McPherson, KS
National Provider Identifier
1780021683
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05494 Issued in KS
Legal business name
STUPKA CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
114 W Euclid St
McPherson, KS 67460-4206
Phone
(620) 504-6677
NPI assigned
May 31, 2013
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Brandon Lee Stupka, D.C.NPI 1023353521
Title
Chiropractor
Phone
(620) 504-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 01-05494 KS Primary

Addresses

Primary practice location

114 W Euclid St
McPherson, KS 67460-4206

Mailing address

114 W Euclid St
McPherson, KS 67460-4206
Phone (620) 504-6677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130913000671 KS Part B Supplier - Clinic/Group Practice 5890939763 Receives reassigned benefits from 3 practitioners
Practice locations: McPherson, KS

National Provider Directory

National Provider Directory

Locations

114 W Euclid St
McPherson, KS 67460
Phone (620) 504-6677

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1780021683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W EUCLID ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604206",
            "telephone_number": "620-504-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W EUCLID ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604206",
            "telephone_number": "620-504-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUPKA CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "STUPKA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "620-504-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.