Active NPI
Beth Cooper, DC
- Chiropractor
- Oakland Park, FL
National Provider Identifier
1447215413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- OOO7727
- Practice address
- 3436 N Andrews Ave
Oakland Park, FL 33309-6060 - Phone
- (954) 390-0818
- Fax
- (954) 390-0817
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | OOO7727 | FL | Primary |
Addresses
Primary practice location
3436 N Andrews Ave
Oakland Park, FL 33309-6060
Mailing address
3436 N Andrews Ave
Oakland Park, FL 33309-6060
Phone (954) 390-0818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55873 | Other | FL | BLUE CROSS BLUE SHIELD |
| P00162652 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
120 E Oakland Park Blvd
Suite 106
Oakland Park, FL 33334-1106
Phone (954) 390-0818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OOO7727 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Cooper DC PA | Chiropractor | Current | Accepting new patients |
Locations
3436 N Andrews Ave
Oakland Park, FL 33309
Phone (954) 390-0818
120 E Oakland Park Blvd
Ste 106
Oakland Park, FL 33334
Phone (954) 390-0818
Interoperability endpoints
- beth.cooper.1@14958.direct.athenahealth.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447215413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3436 N ANDREWS AVE",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333096060",
"telephone_number": "954-390-0818",
"fax_number": "954-390-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 N ANDREWS AVE",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333096060",
"telephone_number": "954-390-0818",
"fax_number": "954-390-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "BETH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "OOO7727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "55873",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00162652",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
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.