Individual provider Active NPI

Justin Cook, D.C.

  • Chiropractor
  • Kearney, MO
National Provider Identifier
1235586348
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1892 Issued in NE
Practice address
815 Premier Dr Ste a
Kearney, MO 64060-7929
Phone
(816) 635-2645
Fax
(816) 635-2645
NPI assigned
May 18, 2016
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005002450 MO Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 2365722915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Cleveland Chiropractic College - Kansas City, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J P Cook DC PCGroup PAC ID 7315359296, 2 clinicians

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

LicenseStateTypeSpecialty
1892NEMDPhysician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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

Verify at the official NPI Registry.