Individual provider Active NPI

Kent R. Cooley, D.C.

  • Chiropractor
  • North Richland Hills, TX
National Provider Identifier
1699707323
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6282 Issued in TX
Practice address
6605 Precinct Line Rd
Suite 100B
North Richland Hills, TX 76182-4374
Phone
(817) 281-1995
Fax
(817) 281-2174
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 6282 TX Primary

Addresses

Primary practice location

6605 Precinct Line Rd
Suite 100B
North Richland Hills, TX 76182-4374

Mailing address

6605 Precinct Line Rd
Suite 100B
North Richland Hills, TX 76182-4374
Phone (817) 281-1995

Other identifiers 1

IdentifierTypeStateIssuer
0017634-01MedicaidTX

Other names 1

  • Kathy L Davis Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000834 TX Practitioner - Chiropractic 4880735828 Practice locations: North Richland Hills, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6605 Precinct Line Rd
North Richland Hills, TX 76182-4324
Phone (817) 281-1995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6282TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Cooley Chiropractic Chiropractor CurrentSince Jun 21, 2022 Accepting new patients

Locations

6605 Precinct Line Rd
Ste 100B
North Richlnd Hls, TX 76182
Phone (817) 281-1994

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1699707323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 PRECINCT LINE RD",
            "address_2": "SUITE 100B",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824374",
            "telephone_number": "817-281-1995",
            "fax_number": "817-281-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 PRECINCT LINE RD",
            "address_2": "SUITE 100B",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824374",
            "telephone_number": "817-281-1995",
            "fax_number": "817-281-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "KENT",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017634-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "DAVIS",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.