Provider Demographics
NPI:1780231530
Name:TUPTA, JOHN PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:TUPTA
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:4710 CHIMNEY DR
Mailing Address - Street 2:STE D
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25302-4841
Mailing Address - Country:US
Mailing Address - Phone:681-265-2090
Mailing Address - Fax:681-265-2091
Practice Address - Street 1:135 7TH AVE
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25303-1417
Practice Address - Country:US
Practice Address - Phone:304-768-6106
Practice Address - Fax:304-746-0608
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2025-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV1055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor