Organization Active NPI

Cook Chiropractic, Inc.

  • Chiropractor
  • Bay City, TX
National Provider Identifier
1366629875
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TX5069 Issued in TX
Legal business name
COOK CHIROPRACTIC, INC.
Practice address
1509 7TH St
Bay City, TX 77414-4923
Phone
(979) 244-2900
Fax
(979) 244-4554
NPI assigned
Jan 28, 2008
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Katherin Joan Cook, D.C.NPI 1356362099
Title
President
Phone
(979) 244-2900

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 SINGLE SPECIALTY GROUP 111N00000X TX5069 TX Primary

Addresses

Primary practice location

1509 7TH St
Bay City, TX 77414-4923

Mailing address

1509 7TH St
Bay City, TX 77414-4923
Phone (979) 244-2900

Other identifiers 1

IdentifierTypeStateIssuer
0014763-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051219000681 TX Part B Supplier - Clinic/Group Practice 1254353261 Receives reassigned benefits from 1 practitioner
Practice locations: Bay City, TX

National Provider Directory

National Provider Directory

Locations

1509 7th St
Bay City, TX 77414
Phone (979) 224-2900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1366629875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 7TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144923",
            "telephone_number": "979-244-2900",
            "fax_number": "979-244-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 7TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144923",
            "telephone_number": "979-244-2900",
            "fax_number": "979-244-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KATHERIN",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-244-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX5069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014763-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.