Organization Active NPI

K L Cook Chiropractic PLLC

  • Chiropractor
  • Temple, TX
National Provider Identifier
1912177155
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8799 Issued in TX
Legal business name
K L COOK CHIROPRACTIC PLLC
Practice address
1708 W Ave. M
Temple, TX 76504-6769
Phone
(254) 778-6100
Fax
(254) 778-6120
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Kirk L Cook, DCNPI 1548235294
Title
Doctor of Chiropractic
Phone
(254) 778-6100

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 8799 TX Primary

Addresses

Primary practice location

1708 W Ave. M
Temple, TX 76504-6769

Mailing address

1708 W Ave M
Temple, TX 76504-6769
Phone (254) 778-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080826000556 TX Part B Supplier - Clinic/Group Practice 3375618325 Receives reassigned benefits from 1 practitioner
Practice locations: Temple, TX

National Provider Directory

National Provider Directory

Locations

2045 Scott Blvd
Temple, TX 76504
Phone (254) 220-9445

1708 W Avenue M
Temple, TX 76504
Phone (254) 778-6100

1708 W Avenue M
#2045
Temple, TX 76504
Phone (254) 778-6100

Interoperability endpoints

  • Direct secure messaging: cookchiro@cck0001.direct.chirotouch.md

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1912177155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W AVE M",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046769",
            "telephone_number": "254-778-6100",
            "fax_number": "254-778-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 W AVE. M",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046769",
            "telephone_number": "254-778-6100",
            "fax_number": "254-778-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K L COOK CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "254-778-6100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.