Active NPI
Sandy Jean Cooney, D.C.
- Chiropractor
- Butte, MT
National Provider Identifier
1467519207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1073
- Practice address
- 800 W Platinum St
Suite 2
Butte, MT 59701-2200 - Phone
- (406) 494-0700
- Fax
- (406) 723-2213
- NPI assigned
- Jan 2, 2007
- 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 | 1073 | MT | Primary |
Addresses
Primary practice location
800 W Platinum St
Suite 2
Butte, MT 59701-2200
Mailing address
800 W Platinum St
Suite 2
Butte, MT 59701-2200
Phone (406) 494-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41043 | Other | MT | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041014000573 | MT | Practitioner - Chiropractic | 4880654722 | Practice locations: Butte, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
800 W Platinum St
Suite 2
Butte, MT 59701-2237
Phone (406) 494-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073 | MT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467519207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W PLATINUM ST",
"address_2": "SUITE 2",
"city": "BUTTE",
"state": "MT",
"postal_code": "597012200",
"telephone_number": "406-494-0700",
"fax_number": "406-723-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W PLATINUM ST",
"address_2": "SUITE 2",
"city": "BUTTE",
"state": "MT",
"postal_code": "597012200",
"telephone_number": "406-494-0700",
"fax_number": "406-723-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONEY",
"first_name": "SANDY",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "1073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "41043",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butte, MT
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.