Individual provider Active NPI

Daniel T Cocks, D.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1952453953
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03400 Issued in MD
Practice address
9707 Pulaski Hwy Ste B
Baltimore, MD 21220-1407
Phone
(410) 686-4660
Fax
(410) 686-4661
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03400 MD Primary

Addresses

Primary practice location

9707 Pulaski Hwy Ste B
Baltimore, MD 21220-1407

Mailing address

9309 Belair Rd
Ste C
Nottingham, MD 21236-1605
Phone (410) 686-4660

Other identifiers 3

IdentifierTypeStateIssuer
141264ZCAUOtherMDMEDICARE GROUP MEMBER PROVIDER NUMBER
K120OtherMDBLUE CHOICE
352BDAOtherMDBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel T. Cocks Family Chiropractic, LLC Chiropractor CurrentSince Jun 16, 2004 Accepting new patients

Locations

9707 Pulaski Hwy
#B
Middle River, MD 21220
Phone (410) 686-4660

9309 Belair Rd
Ste C
Nottingham, MD 21236
Phone (410) 256-3641

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1952453953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 BELAIR RD",
            "address_2": "STE C",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361605",
            "telephone_number": "410-686-4660",
            "fax_number": "410-686-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 PULASKI HWY STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212201407",
            "telephone_number": "410-686-4660",
            "fax_number": "410-686-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKS",
        "first_name": "DANIEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMBER PROVIDER NUMBER",
            "identifier": "141264ZCAU",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "K120",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "352BDA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.