Individual provider Active NPI

Steven Vincent Cook, D.C.

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1447487277
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6496 Issued in CO
Practice address
1318 S College Ave Ste 5
Fort Collins, CO 80524-4174
Phone
(970) 460-6770
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6496 CO Primary

Addresses

Primary practice location

1318 S College Ave Ste 5
Fort Collins, CO 80524-4174

Mailing address

804 Tyler St
Fort Collins, CO 80521-3126
Phone (970) 460-6770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207001184 CO Practitioner - Chiropractic 3678626553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

375 E Horsetooth Rd
BLDG 2 Suite 101
Fort Collins, CO 80525-3155
Phone (970) 482-5301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6496COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Roots Chiropractic Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Access to Health, PC Chiropractor PastSince Apr 1, 2002 Accepting new patients

Locations

375 E Horsetooth Rd
Bldg 2
Fort Collins, CO 80525
Phone (970) 223-1293

2111 S College Ave
Ste B
Fort Collins, CO 80525
Phone (970) 460-6770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1447487277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 TYLER ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213126",
            "telephone_number": "970-460-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S COLLEGE AVE STE 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244174",
            "telephone_number": "970-460-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "STEVEN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.