Organization Active NPI

Cooper Chiropractic LLC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1225134992
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2426 Issued in SC
Legal business name
COOPER CHIROPRACTIC LLC
Practice address
476 Meeting Street
Suite C
Charleston, SC 29403
Phone
(843) 723-6475
Fax
(843) 722-4845
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Dr. Tyrus Santeetlah Cooper, D.C.
Title
Owner
Phone
(843) 723-6475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2426 SC Primary

Addresses

Primary practice location

476 Meeting Street
Suite C
Charleston, SC 29403

Mailing address

476 Meeting St Ste C
Charleston, SC 29403-4841
Phone (843) 723-6475

National Provider Directory

National Provider Directory

Locations

476 Meeting St
Ste C
Charleston, SC 29403
Phone (843) 722-4845

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1225134992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 MEETING ST STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034841",
            "telephone_number": "843-723-6475",
            "fax_number": "843-722-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 MEETING STREET",
            "address_2": "SUITE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29403",
            "telephone_number": "843-723-6475",
            "fax_number": "843-722-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TYRUS",
        "authorized_official_middle_name": "SANTEETLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-723-6475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.