Organization Active NPI

Thrive Chiropractic LLC

  • Chiropractor
  • Madison, WI
National Provider Identifier
1982196630
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3161-012 Issued in WI
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3161-012OtherWIWISCONSIN LICENSE

Other names 1

  • Thrive Chiropractic LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.