Active NPI
Cooke Richardson & Overstreet DDS PC
- General Practice Dentistry
- Sandston, VA
National Provider Identifier
1407923691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- COOKE RICHARDSON & OVERSTREET DDS PC
- Practice address
- 39 W Williamsburg Rd
Sandston, VA 23150 - Phone
- (804) 737-7402
- Fax
- (804) 737-5442
- NPI assigned
- Nov 30, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas R Overstreet Jr., DDS
- Title
- Partner Doctor of Dental Science
- Phone
- (804) 737-7402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
39 W Williamsburg Rd
Sandston, VA 23150
Mailing address
39 W Williamsburg Rd
Sandston, VA 23150
Phone (804) 737-7402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 983528 | Other | VA | UNITED CONCORDIA |
National Provider Directory
National Provider Directory- Tax ID family
- Cooke Richardson Overstreet DDS PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Sandston, VA
- NPI 1619429602
Practitioners & affiliated clinicians
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.
-
- Dentist
- Sandston, VA
- NPI 1891869681
-
- Dentist
- Sandston, VA
- NPI 1174697957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407923691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 W WILLIAMSBURG RD",
"city": "SANDSTON",
"state": "VA",
"postal_code": "23150",
"telephone_number": "804-737-7402",
"fax_number": "804-737-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 W WILLIAMSBURG RD",
"city": "SANDSTON",
"state": "VA",
"postal_code": "23150",
"telephone_number": "804-737-7402",
"fax_number": "804-737-5442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOKE RICHARDSON & OVERSTREET DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OVERSTREET",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PARTNER DOCTOR OF DENTAL SCIENCE",
"authorized_official_telephone_number": "804-737-7402",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "983528",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandston, VA
Sources for this page
- 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.