Individual provider Active NPI

Stephen M Cockey, D.D.S.

  • Dentist
  • Bel Air, MD
National Provider Identifier
1235575283
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7638 Issued in MD
Practice address
754 N Hickory Ave
Bel Air, MD 21014-3042
Phone
(410) 879-5166
Fax
(410) 879-5166
NPI assigned
May 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7638 MD Primary

Addresses

Primary practice location

754 N Hickory Ave
Bel Air, MD 21014-3042

Mailing address

754 N Hickory Ave
Bel Air, MD 21014-3042
Phone (410) 879-5166

Other identifiers 1

IdentifierTypeStateIssuer
1326240771OtherMDNPI - ORGANIZATIONAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612001086 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3577874890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7638MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1235575283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 N HICKORY AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143042",
            "telephone_number": "410-879-5166",
            "fax_number": "410-879-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N HICKORY AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143042",
            "telephone_number": "410-879-5166",
            "fax_number": "410-879-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKEY",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "7638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - ORGANIZATIONAL",
            "identifier": "1326240771",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.