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

Q: 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.

Q: What is Jordan Cooper's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Cooper was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: October 18, 2026.

On this page

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

Phone(904) 619-8229

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Jordan Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cooper Chiropractic And Family Wellness Inc

Same address

Chiropractor

4350 PABLO PROFESSIONAL CT # 110
Jacksonville, FL 32224

Reassigned Medicare billing, Florida enrollment

NPI 1003103623 (904) 619-8229

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

COOPER CHIROPRACTIC AND FAMILY WELLNESS INC

Chiropractor

4350 PABLO PROFESSIONAL CT # 110
JACKSONVILLE, FL 32224

Duval County (904) 619-8229

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.

Which organization bills Medicare for Jordan Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Cooper reassigns Medicare benefits to Cooper Chiropractic And Family Wellness Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Cooper was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.