Sean Cook

Primary specialty

DentistTaxonomy code 122300000X

License

D009494 Issued in AZ

Practice address

2919 S Ellsworth Rd Ste 128
Mesa, AZ 85212-2167

Phone

(480) 962-1500

NPI assigned

Jun 17, 2016

Last updated

May 6, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canyon Rim Dental - Heber LLC

  • Dental Clinic/Center
  • Heber, AZ
  • NPI 1730904004
  NPD
• CRD Partnership PLLC

  • Dentist
  • Mesa, AZ
  • NPI 1457267734
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1336599521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 S BALBOA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852959053",
            "telephone_number": "480-570-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 128",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122167",
            "telephone_number": "480-962-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay D Cook, M.D.
• Karen Elizabeth Cook, AUD
• Keven T Cook, D.D.S.
• Laura Cook, M.S., CCC-SLP
• Peter J Cook, DO
• Seth Cook
• Todd Cook
• Alyssa Cooke
• Brandy Marie Cooke
• Denise Cordon Cooke

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.