Organization Active NPI

Cooper & Cooper, PSC

Doing business as Cooper Chiropractic Center

  • Chiropractor
  • Somerset, KY
National Provider Identifier
1003016130
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COOPER & COOPER, PSC
Doing business as
Cooper Chiropractic Center
Practice address
1005 W Columbia St
Somerset, KY 42503-2720
Phone
(606) 679-1166
Fax
(606) 679-1167
NPI assigned
Jul 18, 2007
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ronald O Cooper, D.C.NPI 1497769806
Title
Owner
Phone
(606) 679-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1005 W Columbia St
Somerset, KY 42503-2720

Mailing address

PO Box 3334
West Somerset, KY 42564-3334
Phone (606) 679-1166

Other names 1

  • Cooper Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001164 KY Part B Supplier - Clinic/Group Practice 2567455421 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, KY

National Provider Directory

National Provider Directory

Locations

1005 W Columbia St
Somerset, KY 42503
Phone (606) 679-1166

106 Lake Ave S
Renton, WA 98057
Phone (425) 235-9901

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1003016130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3334",
            "city": "WEST SOMERSET",
            "state": "KY",
            "postal_code": "425643334",
            "telephone_number": "606-679-1166",
            "fax_number": "606-679-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W COLUMBIA ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032720",
            "telephone_number": "606-679-1166",
            "fax_number": "606-679-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER & COOPER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-679-1166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.