Destiny Cooper, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

951 Issued in WV

Practice address

99 Cracker Barrel Dr
Suite 200
Barboursville, WV 25504-1650

Phone

(304) 733-4616

Fax

(304) 733-4818

NPI assigned

Feb 25, 2013

Last updated

Oct 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Destiny Maxson Former name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooper Family ChiropracticGroup PAC ID 1557700986, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cooper Family Chiropractic

  • Health Service Clinic/Center
  • Huntington, WV
  • NPI 1689443830
  Medicare reassignment Care Compare group NPD
• Short Chiropractic Inc

  • Chiropractor
  • Barboursville, WV
  • NPI 1952487563
  Medicare reassignment NPD
• Appalachian Chiropractic Center

  • Chiropractor
  • Barboursville, WV
  • NPI 1770592156
  NPD (past)

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1013257377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CRACKER BARREL DR",
            "address_2": "SUITE 200",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041650",
            "telephone_number": "304-733-4616",
            "fax_number": "304-733-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CRACKER BARREL DR",
            "address_2": "SUITE 200",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041650",
            "telephone_number": "304-733-4616",
            "fax_number": "304-733-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DESTINY",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026296",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "MAXSON",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Cool
• Meranda Cool
• Kayla Cooley
• Amber Cooper
• Autumn Cooper
• Eric Cooper, D.C.
• Haley Cooper
• Heather Cooper
• Jennifer Leahann Cooper
• Kasey Cooper

• Chiropractor in Barboursville, WV
• Providers in Barboursville, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.