Kevin B. Cook, D.D.S., S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3279 Issued in WI

Legal business name

KEVIN B. COOK, D.D.S., S.C.

Practice address

1800 State Road 16
La Crosse, WI 54601-3011

Phone

(608) 782-9667

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Burton Cook, D.D.S.NPI 1447373204

Title

President and Treasurer

Phone

(608) 782-9667

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Burton Cook, D.D.S.

  • Dentist
  • La Crosse, WI
  • NPI 1447373204
  NPD (past) Authorized official
• Torey J Vande Walle, DDS

  • General Practice Dentistry
  • La Crosse, WI
  • NPI 1952839854
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396866026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 STATE ROAD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013011",
            "telephone_number": "608-782-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 STATE ROAD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013011",
            "telephone_number": "608-782-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B. COOK, D.D.S., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "608-782-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33716100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Kertis, D.D.S.
• Julie Keskimaki, PTA
• Tanya L Kessen, LPC
• Staci M Kestner, CSW
• Maude Kettenmann, M.D.
• Sarah S Keyeski, MA
• Fahim Uzzaman Khan, CPO
• Hina Rmsha Alfia Khan, M.B.B.S
• Muhammad Shoaib Khan
• Kidspace LLC (Briana M. Harris, OTD, OTR/L)

• General Practice Dentistry in La Crosse, WI
• Providers in La Crosse, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.