Richard Nicholas Cocke, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8273 Issued in KY

Practice address

41 Industrial LN
Calvert City, KY 42029-8418

Phone

(270) 395-4349

Fax

(270) 395-0175

NPI assigned

Nov 14, 2011

Last updated

Nov 14, 2011By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard I. Cocke Jr., P.S.C.

  • Dentist
  • Calvert City, KY
  • NPI 1912049636
  NPD (past)

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1093092371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "CALVERT CITY",
            "state": "KY",
            "postal_code": "420290625",
            "telephone_number": "270-395-4349",
            "fax_number": "270-395-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 INDUSTRIAL LN",
            "city": "CALVERT CITY",
            "state": "KY",
            "postal_code": "420298418",
            "telephone_number": "270-395-4349",
            "fax_number": "270-395-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKE",
        "first_name": "RICHARD",
        "middle_name": "NICHOLAS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Bohannon, CF-SLP
• Bradley a. Tack P.S.C. (Calvert City Chiropractic)
• Calvert City Convalescent Center, Inc
• Heather Abigail Carlton, PTA
• Clarkson Optometry Midwest Inc. (Eyecare Associates of Kentucky)
• Lauren Renee Coomer
• Jason Doughty, PTA
• Jeannie Diane Downs
• Charles Epstein, D.C.
• Cheryl Denise Ford, RD, LD, CDE

• General Practice Dentistry in Calvert City, KY
• Providers in Calvert City, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.