Active NPI
Synergy Chiropractic Spine & Joint Center
- Chiropractor
- Waterford, MI
National Provider Identifier
1124393814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4239
- Legal business name
- SYNERGY CHIROPRACTIC SPINE & JOINT CENTER
- Practice address
- 1399 Dundee Dr
Waterford, MI 48327-2005 - Phone
- (248) 330-1499
- NPI assigned
- Mar 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kurt Robert Cooper, D.C.
- Title
- Chiropractor/Owner
- Phone
- (248) 330-1499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4239 | NC | Primary |
Addresses
Primary practice location
1399 Dundee Dr
Waterford, MI 48327-2005
Mailing address
58 Physicians Dr Ste 102
Supply, NC 28462-4226
Phone (248) 330-1499
National Provider Directory
National Provider DirectoryLocations
58 Physicians Dr NW
Ste 102
Supply, NC 28462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1124393814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PHYSICIANS DR STE 102",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624226",
"telephone_number": "248-330-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 DUNDEE DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483272005",
"telephone_number": "248-330-1499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY CHIROPRACTIC SPINE & JOINT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "248-330-1499",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "4239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.