Cooperstown Family Chiorpractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X 70 011479 Issued in NY

Legal business name

COOPERSTOWN FAMILY CHIORPRACTIC, PLLC

Practice address

4910 State Highway 28
Cooperstown, NY 13326

Phone

(607) 282-4140

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew D Craig, DCNPI 1750366431

Title

Chiropractor

Phone

(607) 282-4140

Specialties & licenses 1

Addresses

Other names 1

• Cooperstown Family Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Douglas Craig, D.C.

  • Chiropractor
  • Cooperstown, NY
  • NPI 1750366431
  Medicare reassignment NPD Authorized official
• Jill C. Craig, D.C.

  • Chiropractor
  • Cooperstown, NY
  • NPI 1811901838
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1134301419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 STATE HIGHWAY 28",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265212",
            "telephone_number": "607-282-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 STATE HIGHWAY 28",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "13326",
            "telephone_number": "607-282-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERSTOWN FAMILY CHIORPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "607-282-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X 70 011479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooperstown Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sarah Irene Connolly, DPT
• Shelby S Cooper, M.D.
• Emily Sara Cooperstein, LMSW
• Cooperstown Central School District
• Cooperstown Central School District
• Cooperstown Medical Transport Inc
• Cooperstown Optical
• Cooperstown Optical 2 LLC
• Cooperstown Optical LLC
• Lynn Carol Coppolo, RN,CDE

• Chiropractor in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.