NPIMap

Organization Active NPI

Cook Endodontics, PC

  • Endodontics
  • Grand Forks, ND
National Provider Identifier
1518348499
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
COOK ENDODONTICS, PC
Doing business as
Cook & Swenson Endodontics
Practice address
3425 S Washington St
Grand Forks, ND 58201-7101
Phone
(701) 232-1956
NPI assigned
Jun 16, 2015
Organization subpart
Yes
Parent organization
COOK ENDODONTICS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Jerry M Cook, DMDNPI 1114074960
Title
President
Phone
(701) 232-1956

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

3425 S Washington St
Grand Forks, ND 58201-7101

Mailing address

4710 Amber Valley Pkwy S Ste a
Fargo, ND 58104-8695
Phone (701) 232-1956

Other names 1

  • Cook & Swenson Endodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cook Endodontics PC2 organizations share this tax ID, including this one
Part of
Cook Endodontics PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3425 S Washington St
Grand Forks, ND 58201
Phone (701) 232-1956

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1518348499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 AMBER VALLEY PKWY S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048695",
            "telephone_number": "701-232-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017101",
            "telephone_number": "701-232-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK ENDODONTICS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK ENDODONTICS, PC",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-232-1956",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook & Swenson Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.