Richard J. Cook DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

664 Issued in AK

Legal business name

RICHARD J. COOK DDS PC

Practice address

712 W 12TH St
Juneau, AK 99801-1528

Phone

(907) 463-3623

Fax

(907) 463-1115

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ellen K Cook

Title

Office Manager

Phone

(907) 463-3623

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104834522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 W 12TH ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011528",
            "telephone_number": "907-463-3623",
            "fax_number": "907-463-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W 12TH ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011528",
            "telephone_number": "907-463-3623",
            "fax_number": "907-463-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. COOK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-463-3623",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Reynolds
• Theresa Reynolds, RDN, LD
• April Rezendes, RN. MPH
• Jessica Sangster Ribao, FNP-C
• Richard Chan Orthodontics
• Susan E Richardson, NP
• William A Richey, MD
• Mark S. Riederer, D.D.S.
• Kalean Andrea Rielly
• Joann Rieselbach

• Dental Clinic/Center in Juneau, AK
• Providers in Juneau, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.