Active NPI
Hobart Shay Cook, DC
- Chiropractor
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2705
- Practice address
- 2307 N College Rd
Wilmington, NC 28405-6427 - Phone
- (910) 392-1488
- Fax
- (910) 392-1489
- NPI assigned
- Aug 12, 2005
- Last updated
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2705 | NC | Primary |
Addresses
Primary practice location
2307 N College Rd
Wilmington, NC 28405-6427
Mailing address
2595 S 17TH St
Wilmington, NC 28401-7765
Phone (910) 791-2788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890841M | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2595 S 17TH St
Wilmington, NC 28401-7748
Phone (910) 791-2788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2705 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Healthcare Centers PC | Chiropractor | Current | Accepting new patients |
| Southeastern Healthcare Centers PC | Chiropractor | Current | Accepting new patients |
| Southeastern Healthcare Center PC | Chiropractor | Current | Accepting new patients |
Locations
110 Village Rd NE
Ste D
Leland, NC 28451
Phone (910) 371-1000
4501 Main St
Ste 2
Shallotte, NC 28470
Phone (910) 754-5678
2307 N College Rd
Wilmington, NC 28405
Phone (910) 392-1488
2595 S 17th St
Wilmington, NC 28401
Phone (910) 392-1252
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1841292513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017765",
"telephone_number": "910-791-2788",
"fax_number": "910-791-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 N COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284056427",
"telephone_number": "910-392-1488",
"fax_number": "910-392-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "HOBART",
"middle_name": "SHAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890841M",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.