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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62137 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins Pediatric Dentistry | Past |
Accepting new patients | |
| Glenn V. Hemberger, DDS, Ms, CHTD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.