Individual provider Active NPI

Kazunori 'Sam' Cook, D.C.

  • Chiropractor
  • Lubbock, TX
National Provider Identifier
1023073301
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10162 Issued in TX
Practice address
3601 34TH St
Lubbock, TX 79410-2833
Phone
(806) 793-5770
Fax
(806) 793-5771
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10162 TX Primary

Addresses

Primary practice location

3601 34TH St
Lubbock, TX 79410-2833

Mailing address

PO Box 64184
Lubbock, TX 79464-4184
Phone (806) 793-5770

Other identifiers 1

IdentifierTypeStateIssuer
8A9941OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2121NMMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fare' Health Centers, LLC Chiropractor Past Accepting new patients
Ervin Jackson Hudgins DC PA Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1023073301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64184",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794644184",
            "telephone_number": "806-793-5770",
            "fax_number": "806-793-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102833",
            "telephone_number": "806-793-5770",
            "fax_number": "806-793-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KAZUNORI",
        "middle_name": "'SAM'",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A9941",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.