Organization Active NPI

Dr. Richard T. Cooke DDS, Ms, PA

  • Periodontics
  • Goldsboro, NC
National Provider Identifier
1144348350
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
NC3660 Issued in NC
Legal business name
DR. RICHARD T. COOKE DDS, MS, PA
Practice address
2300 Wayne Memorial Dr
Suite H
Goldsboro, NC 27534-1726
Phone
(919) 731-2620
Fax
(919) 734-0911
NPI assigned
Mar 26, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Richard Thomas Cooke, DDS, MSNPI 1447378658
Title
Periodontist
Phone
(919) 731-2620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NC3660 NC Primary

Addresses

Primary practice location

2300 Wayne Memorial Dr
Suite H
Goldsboro, NC 27534-1726

Mailing address

2300 Wayne Memorial Dr
Suite H
Goldsboro, NC 27534-1726
Phone (919) 731-2620

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1144348350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WAYNE MEMORIAL DR",
            "address_2": "SUITE H",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-731-2620",
            "fax_number": "919-734-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WAYNE MEMORIAL DR",
            "address_2": "SUITE H",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-731-2620",
            "fax_number": "919-734-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD T. COOKE DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "919-731-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "NC3660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.