Individual provider Active NPI

John Edward Cook, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Dakota Dunes, SD
National Provider Identifier
1093736779
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
3766 Issued in SD
Practice address
600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone
(605) 232-3332
Fax
(605) 232-0854
NPI assigned
Jul 21, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 3766 SD Primary
Interventional Pain Medicine Physician 208VP0014X 3766 SD

Addresses

Primary practice location

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000

Mailing address

232 Shadow Valley BND
Dakota Dunes, SD 57049-5159
Phone (605) 232-9614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000012 SD Practitioner - AnesthesiologyPractitioner - Pain Management 6103807508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3766SDMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Diagnostic Lab Services LLC CurrentSince Mar 31, 2014 Accepting new patients
Omaha Ambulatory Surgery Center LLC PastSince Jan 1, 2017 Accepting new patients
Siouxland Anesthesiology, LTD Pain Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8703/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1093736779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SHADOW VALLEY BND",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495159",
            "telephone_number": "605-232-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495000",
            "telephone_number": "605-232-3332",
            "fax_number": "605-232-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SD",
            "license": "3766",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SD",
            "license": "3766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.