Active NPI
Jeffry Dobbs Cockerell, DC
- Rehabilitation Chiropractor
- The Woodlands, TX
National Provider Identifier
1386800373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 4327
- Practice address
- 3115 College Park Dr
Suite 101
The Woodlands, TX 77384-4000 - Phone
- (936) 321-4345
- Fax
- (936) 321-4353
- NPI assigned
- Jul 30, 2008
- Last updated
- Mar 20, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4327 | TX | |
| Rehabilitation Chiropractor | 111NR0400X | 4327 | TX | Primary |
Addresses
Primary practice location
3115 College Park Dr
Suite 101
The Woodlands, TX 77384-4000
Mailing address
2319 Oak Links Ave
Houston, TX 77059-4402
Phone (713) 876-3030
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4327 | TX | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cockerell Management LTD LLP | Past | Accepting new patients |
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.
-
- Ambulatory Surgical Clinic/Center
- The Woodlands, TX
- NPI 1376794271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1386800373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 OAK LINKS AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770594402",
"telephone_number": "713-876-3030",
"fax_number": "281-286-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 COLLEGE PARK DR",
"address_2": "SUITE 101",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773844000",
"telephone_number": "936-321-4345",
"fax_number": "936-321-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKERELL",
"first_name": "JEFFRY",
"middle_name": "DOBBS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-30",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4327",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "4327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.