Provider Demographics
NPI:1780605337
Name:DOPPS, IAN T (DC)
Entity type:Individual
Prefix:DR
First Name:IAN
Middle Name:T
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 1:5255 N MAIZE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:MAIZE
Mailing Address - State:KS
Mailing Address - Zip Code:67101-1001
Mailing Address - Country:US
Mailing Address - Phone:316-729-2528
Mailing Address - Fax:316-729-2461
Practice Address - Street 1:5255 N MAIZE RD
Practice Address - Street 2:STE 101
Practice Address - City:MAIZE
Practice Address - State:KS
Practice Address - Zip Code:67101-1001
Practice Address - Country:US
Practice Address - Phone:316-729-2528
Practice Address - Fax:316-729-2461
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0104843111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU97215Medicare UPIN
KS062020Medicare ID - Type Unspecified