Individual provider Active NPI

Cory Michael Kopas, D.C.

  • Chiropractor
  • Owatonna, MN
National Provider Identifier
1881080067
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6048 Issued in MN
Practice address
130 26TH Street NW
Owatonna, MN 55060
Phone
(507) 451-0051
Fax
(507) 451-0733
NPI assigned
Apr 14, 2015
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6048 MN Primary

Addresses

Primary practice location

130 26TH Street NW
Owatonna, MN 55060

Mailing address

130 26TH Street NW
Owatonna, MN 55060
Phone (507) 451-0051

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

LicenseStateTypeSpecialty
13315TXMDProfessional Counselor
6048MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Chiropractic Office Chiropractor PastSince Jan 1, 2004 Accepting new patients
Big Country Clinic of Chiropractic PLLC Chiropractor PastSince Dec 1, 2016 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, 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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1881080067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 26TH STREET NW",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "55060",
            "telephone_number": "507-451-0051",
            "fax_number": "507-451-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 26TH STREET NW",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "55060",
            "telephone_number": "507-451-0051",
            "fax_number": "507-451-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPAS",
        "first_name": "CORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.