Active NPI
Jonathan Todd Cook, DDS
- Dentist
- Oregon City, OR
National Provider Identifier
1366694549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D7453
- Practice address
- 1001 Molalla Ave
Suite 110
Oregon City, OR 97045-3788 - Phone
- (503) 656-8287
- Fax
- (503) 656-8375
- NPI assigned
- Oct 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D7453 | OR | Primary |
Addresses
Primary practice location
1001 Molalla Ave
Suite 110
Oregon City, OR 97045-3788
Mailing address
1001 Molalla Ave
Suite 110
Oregon City, OR 97045-3788
Phone (503) 656-8287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275610495 | Other | OR | BUSINESS NPI # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7453 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224374400000",
"number": "1366694549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MOLALLA AVE",
"address_2": "SUITE 110",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970453788",
"telephone_number": "503-656-8287",
"fax_number": "503-656-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MOLALLA AVE",
"address_2": "SUITE 110",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970453788",
"telephone_number": "503-656-8287",
"fax_number": "503-656-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JONATHAN",
"middle_name": "TODD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-19",
"last_updated": "2008-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D7453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS NPI #",
"identifier": "1275610495",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.