Organization Active NPI

Jeannine Rozas Cook, MD PA

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1477692028
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H2107 Issued in TX
Legal business name
JEANNINE ROZAS COOK, MD PA
Practice address
12200 Park Central Dr Ste 405
Dallas, TX 75251-2103
Phone
(972) 341-9696
Fax
(972) 341-9697
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeannine Rozas Cook, M.D.NPI 1639182892
Title
Owner
Phone
(972) 341-9696

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
Pediatrics Physician 208000000X H2107 TX Primary

Addresses

Primary practice location

12200 Park Central Dr Ste 405
Dallas, TX 75251-2103

Mailing address

1508 Bonham CT
Irving, TX 75038-5900
Phone (214) 693-9230

National Provider Directory

National Provider Directory

Locations

12200 Park Central Dr
Ste 405
Dallas, TX 75251
Phone (972) 341-9696

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477692028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 BONHAM CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750385900",
            "telephone_number": "214-693-9230",
            "fax_number": "972-252-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 405",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512103",
            "telephone_number": "972-341-9696",
            "fax_number": "972-341-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNINE ROZAS COOK, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "ROZAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-341-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H2107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

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.

Verify at the official NPI Registry.