Active NPI
Dennis B Cooke, MD
- Interventional Cardiology Physician
- Coeur D Alene, ID
National Provider Identifier
1285680488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD00020411
- Practice address
- 700 W Ironwood Dr
Suite 350
Coeur D Alene, ID 83814-2656 - Phone
- (208) 676-9913
- Fax
- (208) 666-0885
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | M-5711 | ID | |
| Interventional Cardiology Physician | 207RI0011X | MD00020411 | WA | Primary |
Addresses
Primary practice location
700 W Ironwood Dr
Suite 350
Coeur D Alene, ID 83814-2656
Mailing address
122 W 7TH Ave
Suite 310
Spokane, WA 99204-2349
Phone (509) 838-7711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003212800 | Medicaid | ID |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Cardiac and Vascular Imaging, LLC | Past | Accepting new patients | |
| Spokane Valley Family Medicine P.S. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Spokane, WA
- NPI 1730121047
-
- Family Medicine Physician
- Spokane Valley, WA
- NPI 1902859598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1285680488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W 7TH AVE",
"address_2": "SUITE 310",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042349",
"telephone_number": "509-838-7711",
"fax_number": "509-747-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR",
"address_2": "SUITE 350",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142656",
"telephone_number": "208-676-9913",
"fax_number": "208-666-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "DENNIS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ID",
"license": "M-5711",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WA",
"license": "MD00020411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003212800",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.