Carl E Cook, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30018013 Issued in OH

Practice address

220 Windsor Drive
Cortland, OH 44410

Phone

(330) 637-3909

NPI assigned

Jan 27, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1265670442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WINDSOR DRIVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "44410",
            "telephone_number": "330-637-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WINDSOR DRIVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "44410",
            "telephone_number": "330-637-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CARL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Resource Coalition for Independence
• Concord Care Center of Cortland, Inc.
• Concord Care Center of Cortland, Inc.
• Connections Therapy Group
• Continent Health Company of Cortland, LLC
• Cortland Family Medical Center, Inc
• Cortland Healthcare Group Inc.
• William L Crawford, MD
• Michael Crow
• Andrea Csok, DDS

• All providers in Cortland, OH
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.