CHUPPE CLINIC PC
NPI 1649285396
Chiropractor in Bismarck, ND

Active since July 30, 2006CLIA 35D2141293 · Waiver
1936 N 11TH ST, BISMARCK, ND 58501(701) 258-0029(701) 258-0826 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chuppe Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHUPPE CLINIC PC (NPI 1649285396) is a healthcare organization registered as a chiropractor in Bismarck, North Dakota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Callie Frank, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1649285396
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHUPPE CLINIC PC
Location Address1936 N 11TH STBismarck, ND 58501-1914
Mailing Address1936 N 11th StBismarck, ND 58501-1914 · (701) 258-0029 · Fax (701) 258-0826
Fax(701) 258-0826
Organization SubpartNo
Authorized OfficialCallie FrankFinance Director · (701) 258-0029
Enumeration DateJuly 30, 2006
Last NPPES UpdateSeptember 4, 2012
✔ NPI 1649285396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1936 N 11TH ST, Bismarck, ND 58501

Other Identifiers 1

Medicare ID-Type Unspecified1000275ND

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chuppe Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth DakotaEnrollment IDO20040412000182Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Chuppe Clinic PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Chiropractic
NPI 1891224127
1936 N 11TH ST
Bismarck, ND 58501
(701) 258-0029
Same address
Physical Therapist in Private Practice
NPI 1245266717
1936 N 11TH ST
Bismarck, ND 58501
(701) 258-0029
Same address
Chiropractic
NPI 1669870721
1936 N 11TH ST
Bismarck, ND 58501
(701) 258-0029
Same address
Chiropractic
NPI 1124048665
1936 N 11TH ST
Bismarck, ND 58501
(701) 258-0029
Same address
Chiropractic
NPI 1770506685
1936 N 11TH ST
Bismarck, ND 58501
(701) 258-0029
Same address
Chiropractic
NPI 1104929983
1936 N 11TH ST
Bismarck, ND 58501
(701) 258-0029
Same address
Chiropractic
NPI 1346665379
5922 LEXINGTON AVE N
Shoreview, MN 55126
(651) 964-1573
385 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2141293

Chuppe Clinic · Bismarck, ND
Active · expires Dec 11, 2027
CLIA Number35D2141293
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorGregory P. Chuppe
Laboratory Phone(701) 258-0029
Laboratory LocationChuppe Clinic1936 N 11th St, Bismarck, ND 58501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chuppe Clinic PC's NPI number?

The NPI number for Chuppe Clinic PC is 1649285396. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Chuppe Clinic PC located?

Chuppe Clinic PC is located at 1936 N 11th St, Bismarck, ND 58501. The listed phone number is (701) 258-0029.

What is Chuppe Clinic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Chuppe Clinic PC enrolled in Medicare?

Yes. Chuppe Clinic PC is registered in the Medicare PECOS enrollment system.

When is Chuppe Clinic PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Dakota, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Chuppe Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Chuppe Clinic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (6) and Physical Therapist in Private Practice (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chuppe Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2141293) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chuppe Clinic PC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Chuppe Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chuppe Clinic PC was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.