Active NPI
Bookout Enterprises, Inc.
- Chiropractor
- Texarkana, TX
National Provider Identifier
1558540468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2700
- Legal business name
- BOOKOUT ENTERPRISES, INC.
- Practice address
- 703 W 12TH St
Texarkana, TX 75501-4352 - Phone
- (903) 792-0941
- NPI assigned
- Oct 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cris R. Bookout, DC2700
- Title
- Chiropractor
- Phone
- (903) 792-0941
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2700 | TX | Primary |
Addresses
Primary practice location
703 W 12TH St
Texarkana, TX 75501-4352
Mailing address
703 W 12TH St
Texarkana, TX 75501-4352
Phone (903) 792-0941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00573T | Other | TX | GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
703 W 12th St
Texarkana, TX 75501
Phone (903) 792-0941
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Texarkana, TX
- NPI 1932143252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193356800000",
"number": "1558540468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 W 12TH ST",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755014352",
"telephone_number": "903-792-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 W 12TH ST",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755014352",
"telephone_number": "903-792-0941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOOKOUT ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A",
"authorized_official_last_name": "BOOKOUT",
"authorized_official_first_name": "CRIS",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "903-792-0941",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC2700"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "DC2700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "00573T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.