Active NPI
Justin Cook, D.C.
- Chiropractor
- Kearney, MO
National Provider Identifier
1235586348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1892
- Practice address
- 815 Premier Dr Ste a
Kearney, MO 64060-7929 - Phone
- (816) 635-2645
- Fax
- (816) 635-2645
- NPI assigned
- May 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1892 | NE | Primary |
Addresses
Primary practice location
815 Premier Dr Ste a
Kearney, MO 64060-7929
Mailing address
3121 S. 11TH St.
Lincoln, NE 68502
Phone (402) 328-0028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171005002450 | MO | Practitioner - Chiropractic | 2365722915 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- J P Cook DC PC
Practice addresses (Care Compare)
815 Premier Dr
Kearney, MO 64060-7929
Phone (816) 635-2645
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1892 | NE | MD | Chiropractor |
Organizations & group practices 1
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": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1235586348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 S. 11TH ST.",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68502",
"telephone_number": "402-328-0028",
"fax_number": "402-328-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 PREMIER DR STE A",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640607929",
"telephone_number": "816-635-2645",
"fax_number": "816-635-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-18",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.