Individual provider Active NPI

Ashley Cooper, DC

  • Chiropractor
  • Berea, KY
National Provider Identifier
1902163629
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5335 Issued in KY
Practice address
1048 Ace Dr
Berea, KY 40403-2042
Phone
(859) 985-0606
Fax
(859) 985-0052
NPI assigned
Apr 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5335 KY Primary

Addresses

Primary practice location

1048 Ace Dr
Berea, KY 40403-2042

Mailing address

1048 Ace Dr
Berea, KY 40403-2042
Phone (859) 985-0606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217001130 OH Practitioner - Chiropractic 1658535711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ChiromaxGroup PAC ID 9032359468, 2 clinicians

Practice addresses (Care Compare)

8900 Darrow Rd
Suite H102
Twinsburg, OH 44087-6801
Phone (330) 963-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5335KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiromax Chiropractor CurrentSince Nov 2, 2020 Accepting new patients
Chiropractic Health Solutions LLC Chiropractor Past Accepting new patients

Locations

8900 Darrow Rd
Ste H102
Twinsburg, OH 44087
Phone (330) 487-1170

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1902163629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 ACE DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404032042",
            "telephone_number": "859-985-0606",
            "fax_number": "859-985-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 ACE DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404032042",
            "telephone_number": "859-985-0606",
            "fax_number": "859-985-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ASHLEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.