Chiropractic Care, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1061 Issued in AL

Legal business name

CHIROPRACTIC CARE, INC.

Practice address

3533 Gulf Shores Parkway
Gulf Shores, AL 36542

Phone

(251) 968-2000

Fax

(251) 968-5953

NPI assigned

Jan 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. Lyle Keith Cooper, D.C.NPI 1851490981

Title

Doctor

Phone

(251) 968-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: drlylecooper@drlylecooper.myhcdirect.com

Practitioners 1

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

• Lyle Cooper, DC

  • Chiropractor
  • Gulf Shores, AL
  • NPI 1851490981
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1295125490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365470899",
            "telephone_number": "251-968-2000",
            "fax_number": "251-968-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 GULF SHORES PARKWAY",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "36542",
            "telephone_number": "251-968-2000",
            "fax_number": "251-968-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "251-968-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROP NPI - PRIOR TO INCORPORATION",
            "identifier": "1851490981",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11423356",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrLyleCooper@DrLyleCooper.myhcdirect.com",
            "affiliation": "N",
            "address_1": "3533 Gulf Shores Parkway",
            "city": "Gulf Shores",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Craig Brown Jr., D.O.
• Amanda Wilson Bruns, CRNP
• Erin Carney
• Linda Jones Caylor, R.PH.
• Tamara Tidwell Cerniglia, FNP
• Chiropractic Connection
• City of Gulf Shores Inc
• Clearwater Counseling, LLC
• Coastal Dental LLC
• Coastal Wellness LLC

• Chiropractor in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.