Individual provider Active NPI

Katherine Jean Cooke, D.D.S

  • Dentist
  • Murrieta, CA
National Provider Identifier
1336369297
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39777 Issued in CA
Practice address
40250 Murrieta Hot Springs Rd
Suite 119
Murrieta, CA 92563-4961
Phone
(951) 698-4426
Fax
(951) 698-7570
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39777 CA Primary

Addresses

Primary practice location

40250 Murrieta Hot Springs Rd
Suite 119
Murrieta, CA 92563-4961

Mailing address

9 Del Pizzoli
Lake Elsinore, CA 92532-0202
Phone (951) 775-2227

Other names 1

  • Dr. Katherine Jean Cooke Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henriod and Papworth Dental Corporation Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1336369297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DEL PIZZOLI",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320202",
            "telephone_number": "951-775-2227",
            "fax_number": "951-698-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40250 MURRIETA HOT SPRINGS RD",
            "address_2": "SUITE 119",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634961",
            "telephone_number": "951-698-4426",
            "fax_number": "951-698-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "KATHERINE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "COOKE",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.