Dr. Dennis Jeffrey Cockrum , DC
Chiropractor • St Maries, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dennis Cockrum has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Dennis Cockrum, DC was a registered Chiropractor practicing in St Maries, ID. Throughout an active medical career spanning 16 years, Dr. Cockrum provided care at the practice location at 133 N 9TH ST until profile deactivation on 2022-01-17.
Practice Location & Contact Primary Location
133 N 9th St
St Maries, ID 838611741
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in St Maries, ID
Practicing in St Maries, ID (740 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 17, 2022
NPI status registered as active in NPPES database
Registered at 133 N 9TH ST, ST MARIES, ID 838611741 (Tel: 2082452444)
Registered at PO BOX 671, ST MARIES, ID 838610671 (Tel: 2082452444)
Recorded as DENNIS COCKRUM, D.C.
Chiropractor (License #CHIA-970 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 671
St Maries, ID 838610671
Phone: 2082452444
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