Individual provider Active NPI

Johnathon Copple, DC

  • Chiropractor
  • Saint Joseph, MO
National Provider Identifier
1205201340
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015040834 Issued in MO
Practice address
3915 Beck Rd
Suite a
Saint Joseph, MO 64506-4909
Phone
(816) 676-9100
Fax
(816) 390-9777
NPI assigned
Dec 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2015040834 MO Primary

Addresses

Primary practice location

3915 Beck Rd
Suite a
Saint Joseph, MO 64506-4909

Mailing address

3915 Beck Rd
Suite a
Saint Joseph, MO 64506-4909
Phone (816) 676-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151223001436 MO Practitioner - Chiropractic 2668773292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1315 S Main St
Suite B
Maryville, MO 64468-2720
Phone (660) 224-0884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ayh-Maryville, LLC Chiropractor CurrentSince Nov 8, 2022 Accepting new patients
Copple Chiropractic LLC Chiropractor CurrentSince Dec 9, 2015 Accepting new patients

Locations

918 S Main St
Maryville, MO 64468
Phone (660) 224-0884

1315 S Main St
Ste B
Maryville, MO 64468
Phone (660) 224-0884

3915 Beck Rd
Ste A
Saint Joseph, MO 64506
Phone (816) 676-9100

707 N 36th St
Saint Joseph, MO 64506
Phone (816) 279-5683

Organizations & group practices 2

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1205201340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 BECK RD",
            "address_2": "SUITE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064909",
            "telephone_number": "816-676-9100",
            "fax_number": "816-390-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 BECK RD",
            "address_2": "SUITE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064909",
            "telephone_number": "816-676-9100",
            "fax_number": "816-390-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPLE",
        "first_name": "JOHNATHON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015040834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.