Alan R Cooper, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008005 Issued in NY

Practice address

2645 Erie Dr
Weedsport, NY 13166-3203

Phone

(315) 834-9614

Fax

(315) 834-9985

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1538118229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 ERIE DR",
            "city": "WEEDSPORT",
            "state": "NY",
            "postal_code": "131663203",
            "telephone_number": "315-834-9614",
            "fax_number": "315-834-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 ERIE DR",
            "city": "WEEDSPORT",
            "state": "NY",
            "postal_code": "131663203",
            "telephone_number": "315-834-9614",
            "fax_number": "315-834-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ALAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000023032",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "C08005-3",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen C Borsz, M.S., CCC-SLP
• Cheryl Lynn Butler, LPN
• Jeremy M Carr
• Central New York Adult Homes Inc (Evergreen Heights)
• Kelsi L Cole
• Lisa Marie Eipp
• Phillip Lee Eipp, RN
• Shayla Espada, LPN
• Christa Marie Grabowski, PHARMD
• Emilee Greene, MSED

• Chiropractor in Weedsport, NY
• Providers in Weedsport, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.