Jordan Cooper, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10344 Issued in FL

Practice address

4350 Pablo Professional CT # 110
Jacksonville, FL 32224-3224

Phone

(904) 619-8229

Fax

(904) 329-2646

NPI assigned

Jul 13, 2011

Last updated

Dec 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cooper Chiropractic and Family Wellness Inc

  • Chiropractor
  • Jacksonville, FL
  • NPI 1003103623
  Authorized official Same address or phone

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1356639256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 BEACH BLVD",
            "address_2": "STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501587",
            "telephone_number": "904-619-8229",
            "fax_number": "904-329-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 PABLO PROFESSIONAL CT # 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243224",
            "telephone_number": "904-619-8229",
            "fax_number": "904-329-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damani Cooper
• Elizabeth Cooper, PT
• Holly Ann Cooper, LMT
• Jane Cooper, MD
• Jessica Cooper
• Joshua Adam Cooper, DO
• Kay Lolita Cooper, LMHC
• Leslie Cooper, MD
• Mary Yantis Cooper, OTR/L
• Megan S Cooper, LMT

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.