Active NPI
Daniel Henry Cook, DDS, MS
- Pediatric Dentistry
- Tacoma, WA
National Provider Identifier
1104918119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3793
- Practice address
- 1901 S Union Ave
Suite B6005
Tacoma, WA 98405-1702 - Phone
- (253) 627-5470
- Fax
- (253) 627-5474
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3793 | WA | Primary |
Addresses
Primary practice location
1901 S Union Ave
Suite B6005
Tacoma, WA 98405-1702
Mailing address
1901 S Union Ave
Suite B6005
Tacoma, WA 98405-1702
Phone (253) 627-5470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5028071 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3793 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Pediatric Dentistry | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Tacoma, WA
- NPI 1669768529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1104918119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S UNION AVE",
"address_2": "SUITE B6005",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051702",
"telephone_number": "253-627-5470",
"fax_number": "253-627-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S UNION AVE",
"address_2": "SUITE B6005",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051702",
"telephone_number": "253-627-5470",
"fax_number": "253-627-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "DANIEL",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "3793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5028071",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.