Center Street Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7453 Issued in OR

Legal business name

CENTER STREET DENTAL PC

Doing business as

Johnathan Todd Cook DDS

Practice address

419 Center Street
Oregon City, OR 97045-2211

Phone

(503) 656-8287

Fax

(503) 656-8375

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Todd Cook, DDSNPI 1366694549

Title

Owner Dentist

Phone

(503) 656-8287

Specialties & licenses 1

Addresses

Other names 1

• Johnathan Todd Cook DDS Doing business as

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.

• Jonathan Todd Cook, DDS

  • Dentist
  • Oregon City, OR
  • NPI 1366694549
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275610495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 CENTER STREET",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452211",
            "telephone_number": "503-656-8287",
            "fax_number": "503-656-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 CENTER STREET",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452211",
            "telephone_number": "503-656-8287",
            "fax_number": "503-656-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "503-656-8287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnathan Todd Cook DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Leanor Castillo, RN
• Cathleen Jo Caswell, CADC
• Danielle Cataxinos, DO
• Nicole Cavender, MOT
• Center for Continuous Improvement (Oregon Intervention Systems)
• Nazan Cetin
• Kao Cha
• Jennifer Lynn Chaffin, D.O.
• Brent Earl Chalmers, MD
• Carly Chambers, MPT

• General Practice Dentistry in Oregon City, OR
• Providers in Oregon City, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.