Active NPI
Christopher Allan Cochran, D.C.
- Chiropractor
- Willoughby, OH
National Provider Identifier
1558484139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3054
- Practice address
- 34437 Chardon Rd
Willoughby, OH 44094-9112 - Phone
- (440) 347-0180
- Fax
- (440) 347-0181
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 3054 | OH | Primary |
Addresses
Primary practice location
34437 Chardon Rd
Willoughby, OH 44094-9112
Mailing address
345 E Legend CT Apt C
Highland Heights, OH 44143-3695
Phone (440) 442-0765
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000477476 | Other | OH | BLUE CROSS BLUE SHIELD |
| 300227097-00 | Other | OH | BWC NUMBER |
| 2211010 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3054 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558484139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E LEGEND CT APT C",
"city": "HIGHLAND HEIGHTS",
"state": "OH",
"postal_code": "441433695",
"telephone_number": "440-442-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34437 CHARDON RD",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949112",
"telephone_number": "440-347-0180",
"fax_number": "440-347-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "CHRISTOPHER",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000477476",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC NUMBER",
"identifier": "300227097-00",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2211010",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.