Individual provider Active NPI

Sara Livia Cooper, DC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1154859866
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6368 Issued in MN
Practice address
1 Water St W Ste 270
Saint Paul, MN 55107-2053
Phone
(651) 789-0547
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6368 MN Primary

Addresses

Primary practice location

1 Water St W Ste 270
Saint Paul, MN 55107-2053

Mailing address

1 Water St W Ste 270
Saint Paul, MN 55107-2053
Phone (612) 889-5333

Other practice location 1

142 Winifred St W
Saint Paul, MN 55107-2144
Phone (612) 889-5333

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6368MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Chiropractic Health Center, PLLC PastSince Jul 26, 2017 Accepting new patients

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154859866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WATER ST W STE 270",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072053",
            "telephone_number": "612-889-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WATER ST W STE 270",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072053",
            "telephone_number": "651-789-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Winifred St W",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551072144",
            "country_code": "US",
            "telephone_number": "612-889-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SARA",
        "middle_name": "LIVIA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.