Individual provider Active NPI

Mikah Cook, DC

  • Chiropractor
  • Atascadero, CA
National Provider Identifier
1972176444
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
35080 Issued in CA
Practice address
5805 Capistrano Ave Ste a
Atascadero, CA 93422-7218
Phone
(805) 265-0880
Fax
(805) 855-4778
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 35080 CA Primary
Nutrition Chiropractor 111NN1001X 35080 CA

Addresses

Primary practice location

5805 Capistrano Ave Ste a
Atascadero, CA 93422-7218

Mailing address

5805 Capistrano Ave Ste a
Atascadero, CA 93422-7218
Phone (503) 808-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509000223 CA Practitioner - Chiropractic 4880091677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9700 El Camino Real
Suite 301
Atascadero, CA 93422-5581
Phone (805) 265-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35080CAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Wellness Chiropractic Chiropractor CurrentSince Feb 4, 2022 Accepting new patients

Locations

9700 El Camino Real
Ste 301
Atascadero, CA 93422
Phone (805) 265-0880

5805 Capistrano Ave
Ste A
Atascadero, CA 93422
Phone (805) 265-0880

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1972176444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 CAPISTRANO AVE STE A",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227218",
            "telephone_number": "503-808-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 CAPISTRANO AVE STE A",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227218",
            "telephone_number": "805-265-0880",
            "fax_number": "805-855-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MIKAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35080",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "35080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.