Rebecca L Cook, DMD
Individual provider Active NPI Dentist · Whitesburg, KY
NPI 1497075188 · NPPES record last updated Jan 6, 2012
Key facts
- NPI
- 1497075188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8896 (KY)
- Practice address
- 226 Medical Plaza LN
Whitesburg, KY 41858-7425 - Phone
- (606) 633-4871
- Fax
- (606) 633-1874
- NPI assigned
- Jun 4, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151103002431 | KY | Order and Referring Only - Dentist |
1557671567 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8896 | KY | MD | Dentist |
Interoperability endpoints
- rebecca.cook.p1@direct.mtncomp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8896 | KY | Yes |
Addresses
Primary practice location
226 Medical Plaza LN
Whitesburg, KY 41858-7425
Mailing address
PO Box 40
Whitesburg, KY 41858-0040
Phone (606) 633-4823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100122040 | Medicaid | KY |
Other names
- Rebecca L Roberts
Other providers in Whitesburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.