Individual provider Active NPI

Douglas B Cook, D.C.

  • Chiropractor
  • Weatherford, OK
National Provider Identifier
1659301059
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2452 Issued in OK
Practice address
1108 N. Washington
Weatherford, OK 73096
Phone
(580) 774-2214
Fax
(580) 774-2843
NPI assigned
Jul 3, 2006
Last updated
Dec 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2452 OK Primary

Addresses

Primary practice location

1108 N. Washington
Weatherford, OK 73096

Mailing address

PO Box 2055
Weatherford, OK 73096-8055
Phone (580) 774-2214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000056 OK Practitioner - Chiropractic 1658375431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4200 Carriage Way
Weatherford, OK 73096-9614
Phone (580) 774-2214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2452OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Medical LLC CurrentSince Jun 16, 2014 Accepting new patients
Chiropractic Physicians Clinic Chiropractor CurrentSince Sep 17, 1987 Accepting new patients

Locations

1108 N Washington St
Weatherford, OK 73096
Phone (580) 774-2214

4200 Carriage Way
Weatherford, OK 73096
Phone (405) 505-2505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1659301059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2055",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730968055",
            "telephone_number": "580-774-2214",
            "fax_number": "580-774-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N. WASHINGTON",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "73096",
            "telephone_number": "580-774-2214",
            "fax_number": "580-774-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.