Active NPI
Thrive Chiropractic LLC
- Chiropractor
- Madison, WI
National Provider Identifier
1982196630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3161-012
- Legal business name
- THRIVE CHIROPRACTIC LLC
- Doing business as
- Thrive Chiropractic LLC
- Practice address
- 637 E Washington Ave
Madison, WI 53703-2909 - Phone
- (608) 692-7958
- NPI assigned
- May 30, 2018
- 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. Joel Robert Cooper, DC
- Title
- Owner/Member
- Phone
- (608) 692-7958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3161-012 | WI | Primary |
Addresses
Primary practice location
637 E Washington Ave
Madison, WI 53703-2909
Mailing address
618A Pheasant CT
Lodi, WI 53555-1351
Phone (608) 692-7958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3161-012 | Other | WI | WISCONSIN LICENSE |
Other names 1
- Thrive Chiropractic LLC
National Provider Directory
National Provider DirectoryLocations
637 E Washington Ave
Madison, WI 53703
Phone (608) 692-7958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1982196630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618A PHEASANT CT",
"city": "LODI",
"state": "WI",
"postal_code": "535551351",
"telephone_number": "608-692-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 E WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537032909",
"telephone_number": "608-692-7958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-30",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "608-692-7958",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "3161-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN LICENSE",
"identifier": "3161-012",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thrive Chiropractic LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Thrive Chiropractic LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.