Organization Active NPI

Copeland Chiropractic PC

  • Chiropractor
  • Ellisville, MO
National Provider Identifier
1003097452
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005170 Issued in MO
Legal business name
COPELAND CHIROPRACTIC PC
Practice address
113 Old State Rd Ste 202
Ellisville, MO 63021-2042
Phone
(636) 386-6200
Fax
(636) 386-8849
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. James S Copeland, DC
Title
President
Phone
(636) 386-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 005170 MO Primary

Addresses

Primary practice location

113 Old State Rd Ste 202
Ellisville, MO 63021-2042

Mailing address

113 Old State Rd Ste 202
Ellisville, MO 63021-2042
Phone (636) 386-6200

National Provider Directory

National Provider Directory

Locations

510 Baxter Rd
Ste 4S
Chesterfield, MO 63017
Phone (636) 227-6336

113 Old State Rd
Ste 202
Ellisville, MO 63021
Phone (636) 256-9393

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1003097452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 OLD STATE RD STE 202",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630212042",
            "telephone_number": "636-386-6200",
            "fax_number": "636-386-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 OLD STATE RD STE 202",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630212042",
            "telephone_number": "636-386-6200",
            "fax_number": "636-386-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPELAND CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-386-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.