Timothy Cook, D.C., B.S.N

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH4879 Issued in KY

Practice address

1400 N Dutton Ave Ste 13
Santa Rosa, CA 95401-7120

Phone

(707) 526-2225

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing

State licenses

Practice roles

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.

• Dr. Nanci L. Allen, DC, PSC, Inc

  • Chiropractor
  • Crescent Springs, KY
  • NPI 1659519585
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1457553547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE STE 13",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017120",
            "telephone_number": "707-526-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE STE 13",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017120",
            "telephone_number": "707-526-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 McQueen Smith Rd N",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360665558",
            "country_code": "US",
            "telephone_number": "334-358-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "TIMOTHY",
        "credential": "D.C., B.S.N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2377",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006726",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "CH4879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond F. Conway III, M.D.
• Lisa Ann Coogler
• Sylvia Cook - Udall
• Ethan Cook, DDS
• Shirley Ann Cook, PT
• Jean E. Cool, MD
• Gary John Coomber, MD
• Gaea Keridwyn Coon
• Christy Helen Cooper, AU.D.
• Graham Elliot Rome Cooper, PHD

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.