Mark a Cook DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

HD1-00880 Issued in CO

Legal business name

MARK A COOK DDS PC

Practice address

60 S 8TH St Suite 201
Carbondale, CO 81623-1929

Phone

(970) 963-3013

Fax

(970) 963-1513

NPI assigned

Apr 3, 2015

Organization subpart

No

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

Authorized official

Name

Mark A Cook, DDS PC

Title

Dentist

Phone

(970) 963-3013

Specialties & licenses 1

Addresses

Other names 1

• Today's Family Dental Doing business as

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1487049698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S 8TH ST SUITE 201",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231929",
            "telephone_number": "970-963-3013",
            "fax_number": "970-963-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S 8TH ST SUITE 201",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231929",
            "telephone_number": "970-963-3013",
            "fax_number": "970-963-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A COOK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "970-963-3013",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "HD1-00880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hillery Lyen, CD(DONA)
• Philip Michael Maass, MED TECH
• Katherine Rose Mac, I.B.C.L.C.
• Tyler Manchester
• David Mitchell Marcus, M.D.
• Mark a Cook DDS PC
• Julie A Martin, MA, LPC
• Henry Garrett Maxwell, CAC II
• Bridget Calland McClain, PHARMD
• Jordon McIlvain

• General Practice Dentistry in Carbondale, CO
• Providers in Carbondale, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.