NPIMap

Organization Active NPI

Kopper Chiropractic, Inc.

Doing business as Back, Headache, & Joint Pain Ctr.

  • Chiropractor
  • Kingsburg, CA
National Provider Identifier
1972921476
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 20263 Issued in CA
Legal business name
KOPPER CHIROPRACTIC, INC.
Doing business as
Back, Headache, & Joint Pain Ctr.
Practice address
1374 Smith St
Kingsburg, CA 93631-2217
Phone
(559) 897-5801
Fax
(559) 897-9134
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Dr. Timothy E Kopper, D.C.NPI 1457469926
Title
President
Phone
(559) 897-5801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 20263 CA Primary

Addresses

Primary practice location

1374 Smith St
Kingsburg, CA 93631-2217

Mailing address

1374 Smith St
Kingsburg, CA 93631-2217
Phone (559) 897-5801

Other names 1

  • Back, Headache, & Joint Pain Ctr. Doing business as

National Provider Directory

National Provider Directory

Locations

1374 Smith St
Kingsburg, CA 93631
Phone (559) 897-5801

Practitioners & affiliated clinicians

Practitioners 2

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": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1972921476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 SMITH ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936312217",
            "telephone_number": "559-897-5801",
            "fax_number": "559-897-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 SMITH ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936312217",
            "telephone_number": "559-897-5801",
            "fax_number": "559-897-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPPER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "KOPPER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-897-5801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 20263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back, Headache, & Joint Pain Ctr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.