Jeremy D Copple DC PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2301010254 Issued in MI

Legal business name

JEREMY D COPPLE DC PC

Practice address

22615 Michigan Avenue
Dearborn, MI 48124

Phone

(313) 585-1517

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Dennis Copple, D.C.NPI 1033505458

Title

Doctor of Chiropractic

Phone

(313) 585-1517

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Jeremy Dennis Copple, D.C.

  • Chiropractor
  • Dearborn, MI
  • NPI 1033505458
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1194102350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 WESTPOINT",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48125",
            "telephone_number": "313-585-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22615 MICHIGAN AVENUE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-585-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY D COPPLE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "COPPLE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "313-585-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "2301010254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Jenison
• Elizabeth Cherita Jenkins, NP
• Jennifer L. Ozeir, M.D., P.C.
• Abigail Margarete Schieb Jennings
• Ricky Lee Jentons, MALLP
• Jesus a Martinez MD PC
• Jiab Suleiman, DO, P.C.
• Syed Irfan Haider Jilani, D.P.T.
• Sonia Jishi
• Prizy Job, M.D.

• Health Service Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.

Verify at the official NPI Registry.