Organization Active NPI

Cook Chiropractic Inc

  • Chiropractor
  • Kannapolis, NC
National Provider Identifier
1326084898
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COOK CHIROPRACTIC INC
Practice address
1715 S Main St
Kannapolis, NC 28081-5923
Phone
(704) 938-7111
Fax
(704) 932-4066
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Dr. Jeffrey K Cook, DCNPI 1962430686
Title
Owner
Phone
(704) 938-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X NC Primary

Addresses

Primary practice location

1715 S Main St
Kannapolis, NC 28081-5923

Mailing address

1715 S Main St
Kannapolis, NC 28081-5923
Phone (704) 938-7111

Other identifiers 1

IdentifierTypeStateIssuer
8902023MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080222000379 NC Part B Supplier - Clinic/Group Practice 9830273382 Receives reassigned benefits from 4 practitioners
Practice locations: Kannapolis, NC

National Provider Directory

National Provider Directory

Locations

1715 S Main St
Kannapolis, NC 28081
Phone (704) 267-5565

1706 S Main St
Kannapolis, NC 28081
Phone (704) 932-5000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1326084898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S MAIN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815923",
            "telephone_number": "704-938-7111",
            "fax_number": "704-932-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S MAIN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815923",
            "telephone_number": "704-938-7111",
            "fax_number": "704-932-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-938-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902023",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.