Henry William Cook, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2716-93 Issued in MS

Practice address

142 Gateway Dr
Brandon, MS 39042-3085

Phone

(601) 824-1950

Fax

(601) 824-1953

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Henry W. Cook, DMD, PA

  • Pediatric Dentistry
  • Brandon, MS
  • NPI 1669186722
  NPD Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174608368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 GATEWAY DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423085",
            "telephone_number": "601-824-1950",
            "fax_number": "601-824-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 GATEWAY DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423085",
            "telephone_number": "601-824-1950",
            "fax_number": "601-824-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "HENRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "2716-93",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "2716-93",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660112",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lataija D. Combs
• Community Dental, Inc
• Comprehensive Community Services, LLC
• Comprehensive Total Care, LLC
• Cook Wholesale Co Inc
• John Joseph Cook, M.D.
• Madison Tullos Cook
• Jennifer Cooper, SLP
• Kimberly Garrett Cooper, RPT
• Monica Monique Cooper, PMHNP-BC

• Pediatric Dentistry in Brandon, MS
• Providers in Brandon, MS by specialty
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.