Organization Active NPI

Cooper Wellness and Chiropractic

  • Chiropractor
  • New York, NY
National Provider Identifier
1447604186
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010898 Issued in NY
Legal business name
COOPER WELLNESS AND CHIROPRACTIC
Practice address
15 W 44TH St
8TH Floor
New York, NY 10036-6611
Phone
(646) 941-5061
Fax
(646) 941-5043
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Dr. Brandon Reid Cooper, DC, LACNPI 1407814817
Title
Owner
Phone
(646) 941-5061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X010898 NY Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 004751 NY

Addresses

Primary practice location

15 W 44TH St
8TH Floor
New York, NY 10036-6611

Mailing address

15 W 44TH St
8TH Floor
New York, NY 10036-6611
Phone (646) 941-5061

Other identifiers 1

IdentifierTypeStateIssuer
1407814817OtherNYX7K46XBBK1

National Provider Directory

National Provider Directory
Tax ID family
Cooper Chiropractic and Wellness Center PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

36 W 44th St
Ste 610
New York, NY 10036
Phone (212) 391-1279

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1447604186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 44TH ST",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366611",
            "telephone_number": "646-941-5061",
            "fax_number": "646-941-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 44TH ST",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366611",
            "telephone_number": "646-941-5061",
            "fax_number": "646-941-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER WELLNESS AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-941-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010898",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004751",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "X7K46XBBK1",
            "identifier": "1407814817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.