Individual provider Active NPI

Craig Cook, DC

  • Sports Physician Chiropractor
  • Encinitas, CA
National Provider Identifier
1720096373
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC20146 Issued in CA
Practice address
1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951
Phone
(760) 632-5445
Fax
(760) 632-5499
NPI assigned
Aug 3, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC20146 CA Primary

Addresses

Primary practice location

1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951

Mailing address

1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951
Phone (760) 632-5445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161111000844 CA Practitioner - Chiropractic 9931488194 Practice locations: Encinitas, CA; San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951
Phone (760) 632-5445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC20146CAMDSports Physician Chiropractor
20146CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher J Miller Chiropractic Inc PastSince Jan 6, 2010 Accepting new patients

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, 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720096373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 ENCINITAS BLVD",
            "address_2": "SUITE H",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242951",
            "telephone_number": "760-632-5445",
            "fax_number": "760-632-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 ENCINITAS BLVD",
            "address_2": "SUITE H",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242951",
            "telephone_number": "760-632-5445",
            "fax_number": "760-632-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CRAIG",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC20146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.