Organization Active NPI

Just for Kids Pediatric Dentitstry LLC

  • Pediatric Dentistry
  • Newburgh, IN
National Provider Identifier
1235007527
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JUST FOR KIDS PEDIATRIC DENTITSTRY LLC
Practice address
8011 Robin Hill Rd
Newburgh, IN 47630-3083
Phone
(812) 853-2977
Fax
(812) 853-1705
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Dr. Sean Cook, DDS MSDNPI 1962571802
Title
Partner/Provider
Phone
(812) 746-1846

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
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

8011 Robin Hill Rd
Newburgh, IN 47630-3083

Mailing address

PO Box 206
Newburgh, IN 47629-0206
Phone (812) 853-2977

Other identifiers 2

IdentifierTypeStateIssuer
1841929734MedicaidIN
1962571802MedicaidIN

National Provider Directory

National Provider Directory

Locations

8011 Robin Hill Rd
Newburgh, IN 47630
Phone (812) 853-2977

Practitioners & affiliated clinicians

Practitioners 1

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": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1235007527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476290206",
            "telephone_number": "812-853-2977",
            "fax_number": "812-853-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 ROBIN HILL RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303083",
            "telephone_number": "812-853-2977",
            "fax_number": "812-853-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS PEDIATRIC DENTITSTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PARTNER/PROVIDER",
        "authorized_official_telephone_number": "812-746-1846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841929734",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962571802",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.