Provider Demographics
NPI:1255337994
Name:DOPPS, DANIEL A (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:DOPPS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 W CENTRAL
Mailing Address - Street 2:STE. 124
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212
Mailing Address - Country:US
Mailing Address - Phone:316-722-5555
Mailing Address - Fax:316-202-5211
Practice Address - Street 1:7011 W CENTRAL
Practice Address - Street 2:STE. 124
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212
Practice Address - Country:US
Practice Address - Phone:316-722-5555
Practice Address - Fax:316-202-5211
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2018-12-05
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
KS01-03488111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KST80144Medicare UPIN
KS007172Medicare ID - Type Unspecified