Individual provider Active NPI

David Coppola, DC

  • Chiropractor
  • Key Largo, FL
National Provider Identifier
1205032570
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007249 Issued in FL
Practice address
103400 Overseas Hwy
Suite 241
Key Largo, FL 33037-2834
Phone
(305) 451-1819
NPI assigned
Jun 25, 2007
Last updated
May 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007249 FL Primary
Acupuncturist 171100000X
Physical Therapist 225100000X

Addresses

Primary practice location

103400 Overseas Hwy
Suite 241
Key Largo, FL 33037-2834

Mailing address

103400 Overseas Hwy
Suite 241
Key Largo, FL 33037-2834
Phone (305) 451-1819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423002385 FL Practitioner - Chiropractic 1759609746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103400 Overseas Hwy
Suite 241
Key Largo, FL 33037-2780
Phone (305) 451-1819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0007249FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David F. Coppola, DC & Associates, Inc. Chiropractor CurrentSince Oct 27, 2014 Accepting new patients

Locations

103400 Overseas Hwy
Ste 241
Key Largo, FL 33037
Phone (305) 451-1819

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1205032570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY",
            "address_2": "SUITE 241",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372834",
            "telephone_number": "305-451-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY",
            "address_2": "SUITE 241",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372834",
            "telephone_number": "305-451-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007249",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.

Verify at the official NPI Registry.