Individual provider Active NPI

Joseph Andrew Coppus, DC

  • Chiropractor
  • Westerville, OH
National Provider Identifier
1104303221
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05293 Issued in OH
Practice address
58 Westerview Dr
Westerville, OH 43081-2682
Phone
(567) 278-5011
NPI assigned
Jul 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12509 FL
Chiropractor 111N00000X DC-05293 OH Primary

Addresses

Primary practice location

58 Westerview Dr
Westerville, OH 43081-2682

Mailing address

58 Westerview Dr
Westerville, OH 43081-2682
Phone (614) 706-2093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191203002869 IL Practitioner - Chiropractic 4284067380
I20231025002875 OH Practitioner - ChiropracticPractitioner - Neurology 4284067380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12509FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Spinal Health & Wellness, LLC Chiropractor PastSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1104303221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WESTERVIEW DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812682",
            "telephone_number": "614-706-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 WESTERVIEW DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812682",
            "telephone_number": "567-278-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPUS",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-21",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12509",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.