Active NPI
Christopher Cooper, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1114349461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5533
- Practice address
- 3715 SE Cesar E Chavez Blvd
Portland, OR 97202-1704 - Phone
- (503) 257-1324
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5533 | OR | Primary |
Addresses
Primary practice location
3715 SE Cesar E Chavez Blvd
Portland, OR 97202-1704
Mailing address
3715 SE Cesar E Chavez Blvd
Portland, OR 97202-1704
Phone (503) 257-1324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1114349461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 SE CESAR E CHAVEZ BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021704",
"telephone_number": "503-257-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 SE CESAR E CHAVEZ BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021704",
"telephone_number": "503-257-1324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2021-05-11",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.