Active NPI
Jeffrey V Kopp, D.C.
- Chiropractor
- Cedar Rapids, IA
National Provider Identifier
1942412309
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Dec 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06931
- Practice address
- 1935 1St Ave SE
Suite 3
Cedar Rapids, IA 52402-5332 - Phone
- (319) 294-7073
- NPI assigned
- May 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 06931 | IA | Primary |
Addresses
Primary practice location
1935 1St Ave SE
Suite 3
Cedar Rapids, IA 52402-5332
Mailing address
2890 Brandon CT
Marion, IA 52302-6225
Phone (319) 373-5611
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942412309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2890 BRANDON CT",
"city": "MARION",
"state": "IA",
"postal_code": "523026225",
"telephone_number": "319-373-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 1ST AVE SE",
"address_2": "SUITE 3",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025332",
"telephone_number": "319-294-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPP",
"first_name": "JEFFREY",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.