Active NPI
Matthew Goodall Cooper, D.C., B.S.
- Chiropractor
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034562
- Practice address
- 4001 Main St
Suite 300
Vancouver, WA 98663-1887 - Phone
- (360) 693-3030
- Fax
- (360) 828-1305
- NPI assigned
- Sep 6, 2006
- Last updated
- Feb 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034562 | WA | Primary |
| Chiropractor | 111N00000X | 27 3617 | OR |
Addresses
Primary practice location
4001 Main St
Suite 300
Vancouver, WA 98663-1887
Mailing address
4001 Main St
Suite 300
Vancouver, WA 98663-1887
Phone (360) 693-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4001 Main St
Suite 200
Vancouver, WA 98663-1894
Phone (360) 693-3030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 3617 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BC Chiropractic Clinic | Chiropractor | Current | Accepting new patients |
Locations
4001 Main St
Ste 200
Vancouver, WA 98663
Phone (360) 693-3030
4001 Main St
Ste 300
Vancouver, WA 98663
Phone (360) 693-3030
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1154424331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 MAIN ST",
"address_2": "SUITE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986631887",
"telephone_number": "360-693-3030",
"fax_number": "360-828-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 MAIN ST",
"address_2": "SUITE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986631887",
"telephone_number": "360-693-3030",
"fax_number": "360-828-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MATTHEW",
"middle_name": "GOODALL",
"name_prefix": "Dr.",
"credential": "D.C., B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034562",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 3617",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.