Active NPI
Gregory Steven Cooper, D.C.
- Chiropractor
- Summerville, SC
National Provider Identifier
1780644609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 909
- Practice address
- 713 Central Ave
Summerville, SC 29483-3713 - Phone
- (843) 821-8787
- Fax
- (843) 821-8799
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 909 | SC | Primary |
Addresses
Primary practice location
713 Central Ave
Summerville, SC 29483-3713
Mailing address
713 Central Ave
Summerville, SC 29483-3713
Phone (843) 821-8787
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 909 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Life Chiropractic Center | Chiropractor | Past | Accepting new patients |
| Central Avenue Healthworks, P.a. | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Summerville, SC
- NPI 1679611578
-
- Chiropractor
- Mt Pleasant, SC
- NPI 1528275146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1780644609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 CENTRAL AVE",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294833713",
"telephone_number": "843-821-8787",
"fax_number": "843-821-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 CENTRAL AVE",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294833713",
"telephone_number": "843-821-8787",
"fax_number": "843-821-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "GREGORY",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.