Organization Active NPI

Cooper Family Chiropractic PLC

  • Chiropractor
  • Battle Creek, MI
National Provider Identifier
1366740003
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008406 Issued in MI
Legal business name
COOPER FAMILY CHIROPRACTIC PLC
Practice address
4071 W Dickman Rd
Battle Creek, MI 49037-7551
Phone
(269) 274-5716
NPI assigned
Mar 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Kenneth Wesley Cooper, DC
Title
Owner/Doctor
Phone
(269) 274-5716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008406 MI Primary

Addresses

Primary practice location

4071 W Dickman Rd
Battle Creek, MI 49037-7551

Mailing address

4071 W Dickman Rd
Battle Creek, MI 49037-7551
Phone (269) 274-5716

Other identifiers 1

IdentifierTypeStateIssuer
950A312700OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

914 Columbia Ave W
Battle Creek, MI 49015
Phone (269) 274-5716

693 Capital Ave SW
Ste 4
Battle Creek, MI 49015
Phone (269) 274-5716

4071 W Dickman Rd
Springfield, MI 49037
Phone (269) 274-5716

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1366740003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 W DICKMAN RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490377551",
            "telephone_number": "269-274-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 W DICKMAN RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490377551",
            "telephone_number": "269-274-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER FAMILY CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "269-274-5716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950A312700",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.