Organization Active NPI

Cooper Medical Solutions, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1710401526
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COOPER MEDICAL SOLUTIONS, LLC
Practice address
5601 Bridge St Ste 300
Fort Worth, TX 76112-2355
Phone
(817) 586-4422
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Johnny Chandasack
Title
Member
Phone
(817) 586-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5601 Bridge St Ste 300
Fort Worth, TX 76112-2355

Mailing address

5601 Bridge St Ste 300
Fort Worth, TX 76112-2355
Phone (817) 586-4422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710401526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122355",
            "telephone_number": "817-586-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122355",
            "telephone_number": "817-586-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER MEDICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHANDASACK",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-586-4422"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.