Organization Active NPI

Cooke Family Chiropractic, Inc.

  • Chiropractor
  • Murrieta, CA
National Provider Identifier
1740934876
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COOKE FAMILY CHIROPRACTIC, INC.
Practice address
25095 Jefferson Ave Ste 102
Murrieta, CA 92562-9107
Phone
(951) 355-3441
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Christina Cooke, DCNPI 1164778569
Title
President/ Chiropractor
Phone
(951) 355-3441

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

25095 Jefferson Ave Ste 102
Murrieta, CA 92562-9107

Mailing address

25095 Jefferson Ave Ste 102
Murrieta, CA 92562-9107
Phone (951) 355-3441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220304001148 CA Part B Supplier - Clinic/Group Practice 2466846662 Receives reassigned benefits from 1 practitioner
Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

25095 Jefferson Ave
Ste 102
Murrieta, CA 92562
Phone (951) 355-3441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1740934876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25095 JEFFERSON AVE STE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629107",
            "telephone_number": "951-355-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25095 JEFFERSON AVE STE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629107",
            "telephone_number": "951-355-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKE FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT/ CHIROPRACTOR",
        "authorized_official_telephone_number": "951-355-3441",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.

Verify at the official NPI Registry.