Active NPI
Cooper Jay Adams, D.C.
- Sports Physician Chiropractor
- Portland, OR
National Provider Identifier
1952848764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 5796
- Practice address
- 6046 E Burnside St
Portland, OR 97215-1268 - Phone
- (970) 401-0686
- NPI assigned
- Jan 31, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 5796 | OR | Primary |
Addresses
Primary practice location
6046 E Burnside St
Portland, OR 97215-1268
Mailing address
6046 E Burnside St
Portland, OR 97215-1268
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5796 | OR | MD | Sports Physician Chiropractor |
Interoperability endpoints
- cooper.adams.1@29676.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1952848764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6046 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6046 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151268",
"telephone_number": "970-401-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "COOPER",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-31",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "OR",
"license": "5796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.