Organization Active NPI

Paul Stepanczuk, DPM

Doing business as Dr Paul Stepanczuk, DPM

  • Customized Equipment (DME)
  • Munster, IN
National Provider Identifier
1871764415
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
07000758 Issued in IN
Legal business name
PAUL STEPANCZUK, DPM
Doing business as
Dr Paul Stepanczuk, DPM
Practice address
1650 45TH Ave
Munster, IN 46321-3962
Phone
(219) 836-9488
Fax
(219) 836-9497
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Paul Phillip Stepanczuk, DPM
Title
Business Owner
Phone
(219) 836-9488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 07000758 IN Primary

Addresses

Primary practice location

1650 45TH Ave
Munster, IN 46321-3962

Mailing address

1650 45TH Ave
Munster, IN 46321-3962
Phone (219) 836-9488

Other names 1

  • DR PAUL STEPANCZUK, DPM Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1871764415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 45TH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213962",
            "telephone_number": "219-836-9488",
            "fax_number": "219-836-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 45TH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213962",
            "telephone_number": "219-836-9488",
            "fax_number": "219-836-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL STEPANCZUK, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "STEPANCZUK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "219-836-9488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IN",
            "license": "07000758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR PAUL STEPANCZUK, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.