Individual provider Active NPI

Carl John Trupp III, D.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1841314614
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
L763106 Issued in MI
Practice address
33523 8 Mile Rd
Livonia, MI 48152-4117
Phone
(248) 488-7500
Fax
(248) 488-7501
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X L763106 MI Primary

Addresses

Primary practice location

33523 8 Mile Rd
Livonia, MI 48152-4117

Mailing address

33523 8 Mile Rd
Livonia, MI 48152-4117
Phone (248) 488-7500

Other practice location 1

18444 Farmington Rd
Livonia, MI 48152-3588
Phone (248) 488-7500

Other identifiers 3

IdentifierTypeStateIssuer
950H221290OtherMIBCBS
1003124652OtherMIGROUP NPI
1841314614OtherMIINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000557 MI Practitioner - Chiropractic 7719174481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33523 8 Mile Rd
Livonia, MI 48152-4119
Phone (248) 488-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L763106MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trupp Transformation Health Chiropractor CurrentSince Oct 4, 2010 Accepting new patients
Desira Chiropractic Life Center LLC Past Accepting new patients
Trupp Family Care Chiropractic, PLLC Chiropractor PastSince Oct 1, 2003 Accepting new patients

Locations

33523 8 Mile Rd
Ste E9
Livonia, MI 48152
Phone (248) 488-7500

18444 Farmington Rd
Livonia, MI 48152
Phone (248) 488-7500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1841314614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33523 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524117",
            "telephone_number": "248-488-7500",
            "fax_number": "248-488-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33523 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524117",
            "telephone_number": "248-488-7500",
            "fax_number": "248-488-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18444 Farmington Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481523588",
            "country_code": "US",
            "telephone_number": "248-488-7500",
            "fax_number": "248-488-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUPP",
        "first_name": "CARL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "L763106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950H221290",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003124652",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1841314614",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.