Organization Active NPI

Beth Cooper DC PA

Doing business as Sunshine Chiropractic Center

  • Chiropractor
  • Oakland Park, FL
National Provider Identifier
1457316929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0007727 Issued in FL
Legal business name
BETH COOPER DC PA
Doing business as
Sunshine Chiropractic Center
Practice address
3436 N Andrews Ave
Oakland Park, FL 33309-6060
Phone
(954) 390-0818
Fax
(954) 390-0817
NPI assigned
Apr 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Beth Cooper, DCNPI 1447215413
Title
President
Phone
(954) 390-0818

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0007727 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 names 1

  • Sunshine Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000427 FL Part B Supplier - Clinic/Group Practice 6800840711 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland Park, FL

National Provider Directory

National Provider Directory

Locations

120 E Oakland Park Blvd
Ste 106
Oakland Park, FL 33334
Phone (954) 390-0818

3436 N Andrews Ave
Oakland Park, FL 33309
Phone (954) 390-0818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457316929",
    "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": {
        "organization_name": "BETH COOPER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-390-0818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "0007727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.