Active NPI
Daniel H. Cook
- Pediatric Dentistry
- Lakewood, WA
National Provider Identifier
1528186137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3793
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5028071 | Medicaid | WA |
Other names 1
- Pediatric Dental Associates
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Lakewood, WA
- NPI 1841619210
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.