Organization Active NPI

Kevin T Cook DDS PLLC

  • Dental Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1376176222
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KEVIN T COOK DDS PLLC
Practice address
3200 W Liberty Rd Ste E
Ann Arbor, MI 48103-9700
Phone
(734) 663-0854
Fax
(734) 663-1374
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Dr. Kevin T Cook, DDSNPI 1528294170
Title
Owner
Phone
(734) 663-0854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3200 W Liberty Rd Ste E
Ann Arbor, MI 48103-9700

Mailing address

3200 W Liberty Rd Ste E
Ann Arbor, MI 48103-9700
Phone (734) 663-0854

National Provider Directory

National Provider Directory

Locations

3200 W Liberty Rd
Ste E
Ann Arbor, MI 48103
Phone (734) 663-0854

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1376176222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD STE E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039700",
            "telephone_number": "734-663-0854",
            "fax_number": "734-663-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD STE E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039700",
            "telephone_number": "734-663-0854",
            "fax_number": "734-663-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN T COOK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-663-0854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.