Organization Active NPI

Cooper Chiropractic Corp.

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1023215704
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3792 Issued in OK
Legal business name
COOPER CHIROPRACTIC CORP.
Practice address
45 E 15TH St
Edmond, OK 73013-4302
Phone
(405) 340-1930
Fax
(405) 340-5930
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Brandon Cooper, D.C.
Title
Chiropractor
Phone
(405) 340-1930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3792 OK Primary

Addresses

Primary practice location

45 E 15TH St
Edmond, OK 73013-4302

Mailing address

2909 Morgan TRL
Edmond, OK 73003-6662
Phone (405) 340-1930

National Provider Directory

National Provider Directory

Locations

45 E 15th St
Edmond, OK 73013
Phone (405) 340-1930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1023215704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 MORGAN TRL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036662",
            "telephone_number": "405-340-1930",
            "fax_number": "405-340-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134302",
            "telephone_number": "405-340-1930",
            "fax_number": "405-340-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "405-340-1930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.