Active NPI
Schupp Chiropractic and Sports Injuries LLC
- Orthopedic Chiropractor
- Madison, WI
National Provider Identifier
1982941399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 4908-12
- Legal business name
- SCHUPP CHIROPRACTIC AND SPORTS INJURIES LLC
- Practice address
- 2110 Fordem Ave
Madison, WI 53704-4610 - Phone
- (608) 244-7447
- NPI assigned
- Jan 7, 2013
- 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
- Andrew Charles Schupp, DC
- Title
- Owner
- Phone
- (906) 399-1362
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 4908-12 | WI | Primary |
Addresses
Primary practice location
2110 Fordem Ave
Madison, WI 53704-4610
Mailing address
2110 Fordem Ave
Madison, WI 53704-4610
Phone (608) 244-7447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Chiropractor
- Madison, WI
- NPI 1639415698
-
- Chiropractor
- Madison, WI
- NPI 1275075558
-
- Dentist
- Madison, WI
- NPI 1225154198
-
- Chiropractor
- Madison, WI
- NPI 1780799239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357516800000",
"number": "1982941399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 FORDEM AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044610",
"telephone_number": "608-244-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 FORDEM AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044610",
"telephone_number": "608-244-7447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHUPP CHIROPRACTIC AND SPORTS INJURIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-07",
"status": "A",
"authorized_official_last_name": "SCHUPP",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "906-399-1362",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": "WI",
"license": "4908-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.