Active NPI
Richard Quint Cockrell, D.C.
- Chiropractor
- Sumner, WA
National Provider Identifier
1275610081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 601435589
- Practice address
- 15324 Main St E Ste B
Sumner, WA 98390-2698 - Phone
- (253) 863-5323
- Fax
- (253) 863-2034
- NPI assigned
- Nov 1, 2006
- Last updated
- Dec 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 601435589 | WA | Primary |
Addresses
Primary practice location
15324 Main St E Ste B
Sumner, WA 98390-2698
Mailing address
15324 Main St E Ste B
Sumner, WA 98390-2698
Phone (253) 863-5323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601367608 | Other | WA | UBI NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 601435589 | WA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Sumner, WA
- NPI 1093887663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1275610081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15324 MAIN ST E STE B",
"city": "SUMNER",
"state": "WA",
"postal_code": "983902698",
"telephone_number": "253-863-5323",
"fax_number": "253-863-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15324 MAIN ST E STE B",
"city": "SUMNER",
"state": "WA",
"postal_code": "983902698",
"telephone_number": "253-863-5323",
"fax_number": "253-863-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKRELL",
"first_name": "RICHARD",
"middle_name": "QUINT",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "601435589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI NUMBER",
"identifier": "601367608",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumner, WA
- Chet Jenkins II PC (Ziegele Smile Studio)
- Chiropractic Healthcare Center, P S
- Christine Ellen Christian, MA LMHC
- Sean Alan Christiansen, D.D.S
- Christy Christian Ma, LMHC, LLC
- Colton/Christiansen PLLC (Plaza 410 Dental Associates)
- Ronald Frank Conti, D.C.
- Robert W. Corliss, M.D.
- Cornerstone Medical Clinic
- Cranedds PLLC (Dental Care of Sumner)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.