Cooper Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000144756 Issued in MO

Legal business name

COOPER FAMILY CHIROPRACTIC

Practice address

9103 Phoenix Village Pkwy
Suite F
O Fallon, MO 63368-4279

Phone

(636) 265-2566

Fax

(866) 418-4148

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marcy Lynn Cooper, D.C.

Title

Owner

Phone

(636) 379-9105

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Marcy Lynn Bennett, D.C.

  • Chiropractor
  • O Fallon, MO
  • NPI 1144368713
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1144486705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 PHOENIX VILLAGE PKWY",
            "address_2": "SUITE F",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684279",
            "telephone_number": "636-265-2566",
            "fax_number": "866-418-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 PHOENIX VILLAGE PKWY",
            "address_2": "SUITE F",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684279",
            "telephone_number": "636-265-2566",
            "fax_number": "866-418-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-379-9105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000144756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP/CMR",
            "identifier": "38309",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "432179",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7997538",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "139154",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Conner, OTR/L
• Claire Conners, PT, DPT
• Sarah Allison Conover
• Jennifer Conrad, RPH
• Jill Stephanie Cooley, MD
• Cooper Family Chiropractic LLC
• Matthew Christopher Cooper, D.C
• Cornerstone Care Management, LLC
• Corporate Surgical Arts LLC
• Christine C Cortadillo, D.O.

• Chiropractor in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.