Alexandra Cook, DDS

Individual provider Active NPI Dentist · Overland Park, KS

NPI 1295577567 · NPPES record last updated Jun 8, 2024

Key facts

NPI
1295577567
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
62137 (KS)
Practice address
8575 W 110TH St Ste 310
Overland Park, KS 66210-2774
Phone
(913) 345-0331
NPI assigned
Jun 8, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
62137KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins Pediatric Dentistry Past
since Aug 23, 2020
Accepting new patients
Glenn V. Hemberger, DDS, Ms, CHTD Past
since Jun 9, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62137 KS Yes

Addresses

Primary practice location

8575 W 110TH St Ste 310
Overland Park, KS 66210-2774

Mailing address

4949 Wornall Rd Apt 303
Kansas City, MO 64112-2579
Phone (636) 698-2332

Other practice location 1

6810 Silverheel St
Shawnee, KS 66226-5300
Phone (913) 745-2500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2024.

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1295577567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 WORNALL RD APT 303",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122579",
            "telephone_number": "636-698-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 W 110TH ST STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102774",
            "telephone_number": "913-345-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 Silverheel St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662265300",
            "country_code": "US",
            "telephone_number": "913-745-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "ALEXANDRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "62137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

All providers in Overland Park, KS · Dentist in Kansas

Sources for this page

Verify at the official NPI Registry.