Individual provider Active NPI

William Chandler Cooper, D.C.

  • Chiropractor
  • Cold Spring, NY
National Provider Identifier
1811385271
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012667 Issued in NY
Practice address
30 Treeline Cir
Cold Spring, NY 10516-4303
Phone
(845) 401-7947
NPI assigned
Jan 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012667 NY Primary

Addresses

Primary practice location

30 Treeline Cir
Cold Spring, NY 10516-4303

Mailing address

30 Treeline Cir
Cold Spring, NY 10516-4303
Phone (845) 401-7947

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180410001956 NY Practitioner - Chiropractic 1658696208 Reassigns benefits to 1 organization
Practice locations: Cold Spring, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avalon Medical Center, LLCGroup PAC ID 2769827179, 12 clinicians

Practice addresses (Care Compare)

121 Executive Dr
Suite 200
New Windsor, NY 12553-5544
Phone (845) 407-0770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012667NYMDChiropractor
012667NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
B & Y Health Supply, Inc. CurrentSince Apr 6, 2023 Accepting new patients
Avalon Medical Center, LLC Chiropractor CurrentSince Aug 1, 2024 Accepting new patients
Peter H. Dyer, DC, Inc. Chiropractor Past Accepting new patients

Locations

121 Executive Dr
Ste 200
New Windsor, NY 12553
Phone (845) 407-0770

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1811385271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TREELINE CIR",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105164303",
            "telephone_number": "845-401-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TREELINE CIR",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105164303",
            "telephone_number": "845-401-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "WILLIAM",
        "middle_name": "CHANDLER",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-07",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.