Organization Active NPI

Cook Family Chiropractic, SC

  • Chiropractor
  • Wisconsin Rapids, WI
National Provider Identifier
1003934316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4220 Issued in WI
Legal business name
COOK FAMILY CHIROPRACTIC, SC
Practice address
410 Daly Ave
Wisconsin Rapids, WI 54494-4744
Phone
(715) 423-5050
Fax
(715) 423-5086
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael A Cook, D.C.NPI 1124064266
Title
Doctor
Phone
(715) 423-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4220 WI Primary

Addresses

Primary practice location

410 Daly Ave
Wisconsin Rapids, WI 54494-4744

Mailing address

410 Daly Ave
Wisconsin Rapids, WI 54494-4744
Phone (715) 423-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000368 WI Part B Supplier - Clinic/Group Practice 2163521808 Receives reassigned benefits from 3 practitioners
Practice locations: Wisconsin Rapids, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003934316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DALY AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944744",
            "telephone_number": "715-423-5050",
            "fax_number": "715-423-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DALY AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944744",
            "telephone_number": "715-423-5050",
            "fax_number": "715-423-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK FAMILY CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "715-423-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.