DR. JORDAN COOPER D.C.
NPI 1356639256
Chiropractor in Jacksonville, FL

Active since July 13, 2011Accepts Medicare Assignment
4350 PABLO PROFESSIONAL CT # 110, JACKSONVILLE, FL 32224(904) 619-8229(904) 329-2646 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jordan Cooper D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN COOPER D.C. (NPI 1356639256) is an individual chiropractor in Jacksonville, Florida, licensed in Florida (CH 10344) and active in the NPI registry since July 2011. He is a graduate of Other (2011).

NPPES Registry Identity

NPI1356639256
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JORDAN COOPERCredential: D.C.
Location Address4350 PABLO PROFESSIONAL CT # 110Jacksonville, FL 32224-3224
Mailing Address14333 Beach Blvd, Ste 2Jacksonville, FL 32250-1587 · (904) 619-8229 · Fax (904) 329-2646
Fax(904) 329-2646
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 13, 2011
Last NPPES UpdateDecember 2, 2016
NPI 1356639256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH 10344
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4350 PABLO PROFESSIONAL CT # 110, Jacksonville, FL 32224

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan Cooper D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729252838
PECOS Enrollment IDI20111129000257

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
4350 PABLO PROFESSIONAL CT # 110
JACKSONVILLE, FL 32224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Cooper's NPI number?

The NPI number for Jordan Cooper is 1356639256. It was assigned to this individual provider in the NPPES registry on July 13, 2011.

Where is Jordan Cooper located?

Jordan Cooper practices at 4350 Pablo Professional Ct # 110, Jacksonville, FL 32224. The listed phone number is (904) 619-8229.

What is Jordan Cooper's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jordan Cooper enrolled in Medicare?

Yes. Jordan Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jordan Cooper was last updated on December 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.