NPIMap

Organization Active NPI

Koopmans Chiropractic, Inc.

  • Chiropractor
  • Eureka, CA
National Provider Identifier
1801971437
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11468 Issued in CA
Legal business name
KOOPMANS CHIROPRACTIC, INC.
Practice address
1459 Myrtle Ave
Eureka, CA 95501-1304
Phone
(707) 443-5013
Fax
(707) 443-6213
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. John Menno Koopmans, D.C.
Title
Dr./President
Phone
(707) 443-5013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11468 CA Primary

Addresses

Primary practice location

1459 Myrtle Ave
Eureka, CA 95501-1304

Mailing address

1459 Myrtle Ave
Eureka, CA 95501-1304
Phone (707) 443-5013

Other names 1

  • Koopmans Chiropractic Office, Inc. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1801971437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011304",
            "telephone_number": "707-443-5013",
            "fax_number": "707-443-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011304",
            "telephone_number": "707-443-5013",
            "fax_number": "707-443-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOPMANS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "KOOPMANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MENNO",
        "authorized_official_title_or_position": "DR./PRESIDENT",
        "authorized_official_telephone_number": "707-443-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koopmans Chiropractic Office, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.