Organization Active NPI

Lifeforce Health Center

  • Sports Physician Chiropractor
  • Norwood, MA
National Provider Identifier
1962671453
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
LIFEFORCE HEALTH CENTER
Practice address
1420 Providence Hwy
Suite 115
Norwood, MA 02062-4662
Phone
(781) 551-9119
Fax
(781) 551-0220
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Dr. Kevin Scott Cooper, DC, CSCS, RKCNPI 1902962145
Title
President
Phone
(781) 551-9119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

1420 Providence Hwy
Suite 115
Norwood, MA 02062-4662

Mailing address

1420 Providence Hwy
Suite 115
Norwood, MA 02062-4662
Phone (781) 551-9119

Other identifiers 1

IdentifierTypeStateIssuer
Y39412OtherMABCBS

National Provider Directory

National Provider Directory

Locations

1420 Providence Hwy
Ste 115
Norwood, MA 02062
Phone (781) 551-9119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1962671453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 PROVIDENCE HWY",
            "address_2": "SUITE 115",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624662",
            "telephone_number": "781-551-9119",
            "fax_number": "781-551-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 PROVIDENCE HWY",
            "address_2": "SUITE 115",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624662",
            "telephone_number": "781-551-9119",
            "fax_number": "781-551-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFORCE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-551-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CSCS, RKC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y39412",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.