NPIMap

Organization Active NPI

Cooper Wellness Chiropractic Center Inc

Doing business as Cooper Chiropractic Wellness Center inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1619168929
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20147 Issued in CA
Legal business name
COOPER WELLNESS CHIROPRACTIC CENTER INC
Doing business as
Cooper Chiropractic Wellness Center inc
Practice address
12217 Santa Monica Blvd Ste 208
Los Angeles, CA 90025-2589
Phone
(310) 447-3540
Fax
(310) 447-3542
NPI assigned
Aug 5, 2007
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Dr. Michael Ross Cooper, D.C.NPI 1861505877
Title
President
Phone
(310) 447-3540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 20147 CA Primary

Addresses

Primary practice location

12217 Santa Monica Blvd Ste 208
Los Angeles, CA 90025-2589

Mailing address

12217 Santa Monica Blvd Ste 208
Los Angeles, CA 90025-2581
Phone (310) 447-3540

Other names 1

  • Cooper Chiropractic Wellness Center inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1619168929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12217 SANTA MONICA BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252581",
            "telephone_number": "310-447-3540",
            "fax_number": "310-447-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12217 SANTA MONICA BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252589",
            "telephone_number": "310-447-3540",
            "fax_number": "310-447-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER WELLNESS CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-447-3540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper Chiropractic Wellness Center inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.