Organization Active NPI

Daniel H. Cook

  • Pediatric Dentistry
  • Lakewood, WA
National Provider Identifier
1528186137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3793 Issued in WA
Legal business name
DANIEL H. COOK
Practice address
6015 100TH St SW
Lakewood, WA 98499-2754
Phone
(253) 582-2626
Fax
(253) 588-0117
NPI assigned
Mar 26, 2007
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. Daniel H Cook, DDS, MS, PS
Title
Owner
Phone
(253) 582-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 3793 WA Primary

Addresses

Primary practice location

6015 100TH St SW
Lakewood, WA 98499-2754

Mailing address

6015 100TH St SW
Lakewood, WA 98499-2754
Phone (253) 582-2626

Other identifiers 1

IdentifierTypeStateIssuer
5028071MedicaidWA

Other names 1

  • Pediatric Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

6015 100th St SW
Lakewood, WA 98499
Phone (253) 582-2626

Practitioners & affiliated clinicians

Practitioners 1

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528186137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992754",
            "telephone_number": "253-582-2626",
            "fax_number": "253-588-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992754",
            "telephone_number": "253-582-2626",
            "fax_number": "253-588-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL H. COOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-582-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "3793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5028071",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

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.