Organization Active NPI

Archie Cook Jr DDS II PLLC

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1073249389
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARCHIE COOK JR DDS II PLLC
Practice address
1398 Kildaire Farm Rd Ste 300
Cary, NC 27511-5567
Phone
(919) 481-2220
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Mrs. Carol A George-Perry
Title
Office Manager
Phone
(919) 803-0168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1398 Kildaire Farm Rd Ste 300
Cary, NC 27511-5567

Mailing address

251 Keisler Dr Ste 200
Cary, NC 27518-7091
Phone (919) 803-0168

Other names 1

  • Shannon Oaks Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

251 Keisler Dr
Ste 200
Cary, NC 27518
Phone (919) 803-0168

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1073249389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 KEISLER DR STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187091",
            "telephone_number": "919-803-0168",
            "fax_number": "984-200-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 KILDAIRE FARM RD STE 300",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115567",
            "telephone_number": "919-481-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHIE COOK JR DDS II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "GEORGE-PERRY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-803-0168",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Oaks Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.