Individual provider Active NPI

Shanie Spring Cooper, DC

  • Chiropractor
  • Benton, AR
National Provider Identifier
1962274522
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16423 Issued in AR
Practice address
1200 Ferguson Dr Ste 2
Benton, AR 72015-2947
Phone
(501) 315-3310
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 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 16423 AR Primary

Addresses

Primary practice location

1200 Ferguson Dr Ste 2
Benton, AR 72015-2947

Mailing address

164 Starboard Cir
Hot Springs, AR 71901-9201
Phone (501) 693-4904

Other names 1

  • Shanie Rushing Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312000382 AR Practitioner - Chiropractic 1759727829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HS Chiropractic, PAGroup PAC ID 7911342704, 2 clinicians

Practice addresses (Care Compare)

4328 Central Ave
Suite B
Hot Springs, AR 71913-7204
Phone (501) 531-0053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HS Chiropractic, PA Chiropractor CurrentSince Feb 9, 2024 Accepting new patients
Ron Rosnermanz DC PLLC Chiropractor CurrentSince Oct 29, 2023 Accepting new patients
Picture Perfect ,LLC Past Accepting new patients

Locations

1200 Ferguson Dr
Ste 2
Benton, AR 72015
Phone (501) 315-3310

4328 Central Ave
Ste B
Hot Springs National Park, AR 71913
Phone (501) 531-0053

4332 Central Ave
Ste M
Hot Springs National Park, AR 71913
Phone (501) 463-9063

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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1962274522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 STARBOARD CIR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719019201",
            "telephone_number": "501-693-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FERGUSON DR STE 2",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152947",
            "telephone_number": "501-315-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHANIE",
        "middle_name": "SPRING",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANIE",
            "last_name": "RUSHING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.