Active NPI
Lifeforce Health Center
- Sports Physician Chiropractor
- Norwood, MA
National Provider Identifier
1962671453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- 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
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, RKC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y39412 | Other | MA | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Walpole, MA
- NPI 1902962145
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.