Provider Demographics
NPI:1700802139
Name:DOPPS CHIROPRACTIC, INC
Entity type:Organization
Organization Name:DOPPS CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOPPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-729-2528
Mailing Address - Street 1:4590 N MAIZE RD
Mailing Address - Street 2:STE 1
Mailing Address - City:MAIZE
Mailing Address - State:KS
Mailing Address - Zip Code:67101
Mailing Address - Country:US
Mailing Address - Phone:316-729-2528
Mailing Address - Fax:316-729-2461
Practice Address - Street 1:4590 N MAIZE RD
Practice Address - Street 2:STE 1
Practice Address - City:MAIZE
Practice Address - State:KS
Practice Address - Zip Code:67101
Practice Address - Country:US
Practice Address - Phone:316-729-2528
Practice Address - Fax:316-729-2461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS660050Medicare PIN