Active NPI
Coppes Chiropractic PC
- Chiropractor
- Burlington, IA
National Provider Identifier
1164550547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- COPPES CHIROPRACTIC PC
- Practice address
- 3115 Agency St
Burlington, IA 52601-1908 - Phone
- (319) 752-1460
- Fax
- (319) 752-1461
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Andrew Coppes, D.C.
- Title
- President
- Phone
- (319) 752-1460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IA | Primary |
Addresses
Primary practice location
3115 Agency St
Burlington, IA 52601-1908
Mailing address
3115 Agency St
Burlington, IA 52601-1908
Phone (319) 752-1460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD6644 | Other | IA | RR MEDICARE |
| 0462218 | Medicaid | IA |
Other names 1
- Advance Chiropractic Center PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3115 Agency St
Burlington, IA 52601
Phone (319) 392-8567
Interoperability endpoints
- jpencedc@accp0004.direct.chirotouch.md
- estumpfdc@accp0004.direct.chirotouch.md
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Burlington, IA
- NPI 1730319385
-
- Chiropractor
- Burlington, IA
- NPI 1235126848
-
- Chiropractor
- Mount Pleasant, IA
- NPI 1760800221
-
- Chiropractor
- Burlington, IA
- NPI 1174639686
-
- Chiropractor
- Springfield, MO
- NPI 1407001019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1164550547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 AGENCY ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526011908",
"telephone_number": "319-752-1460",
"fax_number": "319-752-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 AGENCY ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526011908",
"telephone_number": "319-752-1460",
"fax_number": "319-752-1461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COPPES CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "COPPES",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-752-1460",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DD6644",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0462218",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advance Chiropractic Center PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.