Mark Philip Cook, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS021907L Issued in PA

Practice address

5200 Spring Rd
Shermans Dale, PA 17090-8540

Phone

(717) 582-2333

Fax

(717) 582-7516

NPI assigned

Oct 19, 2006

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

Enrolled in PA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306928346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SPRING RD",
            "city": "SHERMANS DALE",
            "state": "PA",
            "postal_code": "170908540",
            "telephone_number": "717-582-2333",
            "fax_number": "717-582-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SPRING RD",
            "city": "SHERMANS DALE",
            "state": "PA",
            "postal_code": "170908540",
            "telephone_number": "717-582-2333",
            "fax_number": "717-582-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MARK",
        "middle_name": "PHILIP",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021907L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahul Abusalih
• Richard Grover Bisbing, M.D.
• Steven Roy Creps, M.D.
• Thomas Hershey Gingrich, RPH
• Judyth a. Leavitt Psychotherapist P.L.L.C.
• Abbie N Kessler
• Gerald Joseph Kruba, D.C.

• General Practice Dentistry in Shermans Dale, PA
• Providers in Shermans Dale, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.