Thomas R Cook III, D.M.D, M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS0000004615 Issued in TN

Practice address

625 Morrison Springs Rd
Chattanooga, TN 37415-3401

Phone

(423) 855-5550

Fax

(423) 899-9182

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265564660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N PALISADES DR",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773037",
            "telephone_number": "423-886-9337",
            "fax_number": "423-899-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MORRISON SPRINGS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153401",
            "telephone_number": "423-855-5550",
            "fax_number": "423-899-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "D.M.D, M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000004615",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DS04615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freda J Cook, LCSW
• Jolene Cook, LCSW
• Kimberly Lynn Cook, LCSW-C
• Lydia Abigail Cook
• Robert Cook II, DR.
• Alexandria S Cooke, M.D
• Johnathan Cooks, MD
• Demetrus Coonrod
• Austin Taylor Cooper, AGACNP- BC
• Colton David Cooper, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.