Cooper Chiropractic and Family Wellness Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10344 Issued in FL

Legal business name

COOPER CHIROPRACTIC AND FAMILY WELLNESS INC

Practice address

4350 Pablo Professional CT # 110
Jacksonville, FL 32224-3224

Phone

(904) 619-8229

Fax

(904) 329-2646

NPI assigned

Jul 3, 2011

Last updated

Jul 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Cooper, D.C.NPI 1356639256

Title

Owner

Phone

(904) 619-8229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Jordan Cooper, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1356639256
  Authorized official Same address or phone

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

{
    "created_epoch": "1309651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309651200000",
    "number": "1003103623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 PABLO PROFESSIONAL CT # 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243224",
            "telephone_number": "904-619-8229",
            "fax_number": "904-329-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 PABLO PROFESSIONAL CT # 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243224",
            "telephone_number": "904-619-8229",
            "fax_number": "904-329-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER CHIROPRACTIC AND FAMILY WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-03",
        "last_updated": "2011-07-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-619-8229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latarsha Cooks, R.N.
• Lanai Bahr Cooksey, PA-C
• Nicole M. Cookson, PT
• Kamryn Marie Cooley
• Zachary Gable Cooley, MD
• Alicia Judith Cooper, BS
• Amanda Cooper
• Brian W Cooper, M.D.
• Constance Cooper, LCSW
• Damani Cooper

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2011; 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.