Jeremy Dennis Copple, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010254 Issued in MI

Practice address

22615 Michigan Ave
Dearborn, MI 48124-2115

Phone

(313) 585-1517

NPI assigned

Apr 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Jeremy D Copple DC PC

  • Health Service Clinic/Center
  • Dearborn, MI
  • NPI 1194102350
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1033505458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 WESTPOINT ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252128",
            "telephone_number": "313-585-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22615 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242115",
            "telephone_number": "313-585-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPLE",
        "first_name": "JEREMY",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Cooper, O.T
• Cody Aaron Cope Sr.
• Adam Copeland
• Cadence Copeland
• Isaac John Copeland
• Rita Coram
• Corazon Medical PC
• Emily E. Corba, PA
• Timothy Patrick Corcoran, MSN, RN, FNP-C
• Core Health PLLC

• Chiropractor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.