Active NPI
Alexander Raphael Cooker, D.C.
- Chiropractor
- Charleston, SC
National Provider Identifier
1386603454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SC2639
- Practice address
- 912 Savannah Hwy
Charleston, SC 29407-7802 - Phone
- (843) 225-4080
- Fax
- (843) 225-5210
- NPI assigned
- Mar 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | SC2639 | SC | Primary |
Addresses
Primary practice location
912 Savannah Hwy
Charleston, SC 29407-7802
Mailing address
912 Savannah Hwy
Charleston, SC 29407-7802
Phone (843) 225-4080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2639 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
912 Savannah Hwy
Charleston, SC 29407-7802
Phone (843) 225-4080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC2639 | SC | MD | Chiropractor |
| 2639 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
912 Savannah Hwy
Charleston, SC 29407
Phone (843) 225-4080
Organizations & group practices 1
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.
-
- Chiropractor
- Charleston, SC
- NPI 1568560159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386603454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077802",
"telephone_number": "843-225-4080",
"fax_number": "843-225-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077802",
"telephone_number": "843-225-4080",
"fax_number": "843-225-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKER",
"first_name": "ALEXANDER",
"middle_name": "RAPHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "SC2639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2639",
"state": "SC"
}
],
"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 8, 2007; 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.