Organization Active NPI

Cocco Clinique MD, PA

  • Plastic Surgery Physician
  • Plano, TX
National Provider Identifier
1053545467
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
COCCO CLINIQUE MD, PA
Practice address
6020 W Plano Pkwy
Plano, TX 75093-4640
Phone
(972) 200-1718
Fax
(214) 432-1806
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Jennyfer Faridy Cocco, MD
Title
President
Phone
(972) 200-1718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

6020 W Plano Pkwy
Plano, TX 75093-4640

Mailing address

6020 W Plano Pkwy
Plano, TX 75093-4640
Phone (972) 200-1817

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1053545467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934640",
            "telephone_number": "972-200-1817",
            "fax_number": "214-432-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934640",
            "telephone_number": "972-200-1718",
            "fax_number": "214-432-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCCO CLINIQUE MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "COCCO",
        "authorized_official_first_name": "JENNYFER",
        "authorized_official_middle_name": "FARIDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-200-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.