NPIMap

Organization Active NPI

Cook Chiropractic Center LTD.

Doing business as Horoshak Chiropractic

  • Chiropractor
  • Cook, MN
National Provider Identifier
1164514493
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3729 Issued in MN
Legal business name
COOK CHIROPRACTIC CENTER LTD.
Doing business as
Horoshak Chiropractic
Practice address
19 E Vermilion Dr
PO 395
Cook, MN 55723
Phone
(218) 666-5104
Fax
(218) 749-1570
NPI assigned
Sep 28, 2006
Last updated
Aug 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Bradley Scott Horoshak, DCNPI 1497930861
Title
Owner Doctor
Phone
(218) 666-5104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3729 MN Primary

Addresses

Primary practice location

19 E Vermilion Dr
PO 395
Cook, MN 55723

Mailing address

19 E Vermilion Dr
PO 395
Cook, MN 55723
Phone (218) 666-5104

Other identifiers 3

IdentifierTypeStateIssuer
607585OtherMEDICA
350047055OtherRR MEDICARE
63D99L0OtherBC

Other names 1

  • Horoshak Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1164514493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E VERMILION DR",
            "address_2": "PO 395",
            "city": "COOK",
            "state": "MN",
            "postal_code": "55723",
            "telephone_number": "218-666-5104",
            "fax_number": "218-749-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E VERMILION DR",
            "address_2": "PO 395",
            "city": "COOK",
            "state": "MN",
            "postal_code": "55723",
            "telephone_number": "218-666-5104",
            "fax_number": "218-749-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHIROPRACTIC CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "HOROSHAK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "218-666-5104",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "607585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350047055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "63D99L0",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horoshak Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cook, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.