Coolbaugh Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6420 Issued in TX

Legal business name

COOLBAUGH CHIROPRACTIC

Practice address

5201 Indiana Ave
Ste 101
Lubbock, TX 79413-4213

Phone

(806) 792-4077

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan E Wallace

Title

Office Manager

Phone

(806) 792-0026

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Coolbaugh Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Robert J. Coolbaugh, DC, Dba Lubbock Accident and Injury Rehab

  • Clinic/Center
  • Lubbock, TX
  • NPI 1639340110
  NPD tax ID

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1194845263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 156TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794236343",
            "telephone_number": "806-441-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 INDIANA AVE",
            "address_2": "STE 101",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134213",
            "telephone_number": "806-792-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLBAUGH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-792-0026",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020711-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wilson Cook, MS CCC/SLP
• Kazunori 'Sam' Cook, D.C.
• Ronald L. Cook, D.O.
• Stephen Cook, PH.D.
• Mindy Deann Cooke
• Jaden Max Cooley, DO
• John Lunsford Cooley, PH.D.
• Megan Cooley, LCSW
• Tiffany N Coomer, PHARMD
• Amber Marie Coon, M.D.

• Chiropractor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.