Active NPI
Matthew Christopher Cooper, D.C
- Chiropractor
- O Fallon, MO
National Provider Identifier
1750429338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2000164553
- Practice address
- 2315 Highway K
O Fallon, MO 63368-8659 - Phone
- (636) 978-6995
- NPI assigned
- Feb 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2000164553 | MO | Primary |
Addresses
Primary practice location
2315 Highway K
O Fallon, MO 63368-8659
Mailing address
2315 Highway K
O Fallon, MO 63368-8659
Phone (636) 978-6995
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38309 | Other | MO | GHP-CMR |
| 139372 | Other | MO | BLUE CROSS BLUE SHEILD |
| 441779 | Other | MO | HEALTHLINK |
| 4400068 | Other | MO | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080213000428 | MO | Practitioner - Chiropractic | 2860575990 | Practice locations: Ofallon, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2315 Hwy K
Ofallon, MO 63368-8659
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000164553 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1750429338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 HIGHWAY K",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688659",
"telephone_number": "636-978-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 HIGHWAY K",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688659",
"telephone_number": "636-978-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MATTHEW",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-03",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2000164553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP-CMR",
"identifier": "38309",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "139372",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "441779",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4400068",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.