Organization Active NPI

Synergy Chiropractic Spine & Joint Center

  • Chiropractor
  • Waterford, MI
National Provider Identifier
1124393814
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4239 Issued in NC
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

Updated by the provider on Mar 14, 2012

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.