Individual provider Active NPI

Timothy William Sopp, D.C.

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1740576594
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4184 Issued in OH
Practice address
9039 Antares Ave
Columbus, OH 43240-4067
Phone
(614) 888-7900
Fax
(614) 888-7970
NPI assigned
Jun 21, 2011
Last updated
Jun 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4184 OH Primary
Independent Medical Examiner Chiropractor 111NI0013X 4184 OH

Addresses

Primary practice location

9039 Antares Ave
Columbus, OH 43240-4067

Mailing address

145 Radio City Blvd
Columbus, OH 43235-8939
Phone (614) 888-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825000820 FL Practitioner - Chiropractic 4385818210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10020 Coconut Rd
Suite 134
Estero, FL 34135-8136
Phone (239) 498-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4184OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
American Spine and Health Institute Corporation Chiropractor CurrentSince Jun 10, 2025 Accepting new patients
Dr Vivian Ebert Inc. CurrentSince Jun 10, 2025 Accepting new patients

Locations

10020 Coconut Rd
Ste 134
Estero, FL 34135
Phone (239) 498-2225

10020 Coconut Rd
Ste 134B
Estero, FL 34135
Phone (239) 498-2225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1740576594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RADIO CITY BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432358939",
            "telephone_number": "614-888-7900",
            "fax_number": "614-888-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9039 ANTARES AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404067",
            "telephone_number": "614-888-7900",
            "fax_number": "614-888-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPP",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4184",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "OH",
            "license": "4184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.