Individual provider Active NPI

James Jacoby Cooley, DC

  • Chiropractor
  • Midlothian, VA
National Provider Identifier
1154029304
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557897 Issued in VA
Practice address
13817 Village Mill Dr Ste K
Midlothian, VA 23114-4378
Phone
(804) 601-1730
NPI assigned
Feb 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557897 VA Primary

Addresses

Primary practice location

13817 Village Mill Dr Ste K
Midlothian, VA 23114-4378

Mailing address

13817 Village Mill Dr Ste K
Midlothian, VA 23114-4378
Phone (804) 601-1730

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0104557897VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cooley Wellness Company Chiropractor CurrentSince Apr 21, 2024 Accepting new patients

Locations

13817 Village Mill Dr
Ste K
Midlothian, VA 23114
Phone (757) 725-0612

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1154029304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13817 VILLAGE MILL DR STE K",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144378",
            "telephone_number": "804-601-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13817 VILLAGE MILL DR STE K",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144378",
            "telephone_number": "804-601-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "JAMES",
        "middle_name": "JACOBY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-17",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.