Individual provider Active NPI

Robert Cooperstein, M.A., D.C.

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1598903098
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17077 Issued in CA
Practice address
3900 Altamont Ave
Oakland, CA 94605-2602
Phone
(510) 382-9366
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17077 CA Primary

Addresses

Primary practice location

3900 Altamont Ave
Oakland, CA 94605-2602

Mailing address

3900 Altamont Ave
Oakland, CA 94605-2602
Phone (510) 382-9366

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1598903098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 ALTAMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052602",
            "telephone_number": "510-382-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ALTAMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052602",
            "telephone_number": "510-382-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERSTEIN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.A., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.