Dennis Cook Jr.

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN292529 Issued in CA

Practice address

12735 Quicksilver St
Waterford, CA 95386-9326

Phone

(209) 596-7797

NPI assigned

Nov 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1083156145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12735 QUICKSILVER ST",
            "city": "WATERFORD",
            "state": "CA",
            "postal_code": "953869326",
            "telephone_number": "209-596-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12735 QUICKSILVER ST",
            "city": "WATERFORD",
            "state": "CA",
            "postal_code": "953869326",
            "telephone_number": "209-596-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DENNIS",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN292529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Renee Barcelos, FNP
• Eric Gust Benson, RN, FNP
• Marissa Boire
• Charles C. Kim, D.D.S., Inc.
• Tatianna Renee Dean
• Don Michael Endress M.D.
• Erika Dutcher, CMA
• Don Michael Endress, MD
• Ravi Gandhi, PHARMD

• Licensed Vocational Nurse in Waterford, CA
• Providers in Waterford, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.