NPIMap

Organization Active NPI

Footbridge Family Dentistry, PA

Doing business as Cook Dentistry

  • Dentist
  • Piedmont, SC
National Provider Identifier
1588772008
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3866 Issued in SC
Legal business name
FOOTBRIDGE FAMILY DENTISTRY, PA
Doing business as
Cook Dentistry
Ryan M. Cook Family & Cosmetic Dentistry
Practice address
1122 Highway 86
Piedmont, SC 29673-8904
Phone
(864) 845-3402
Fax
(864) 845-3101
NPI assigned
Aug 25, 2006
Last updated
Oct 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Mrs. Julie R Weathers
Title
Receptionist
Phone
(864) 845-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3866 SC Primary

Addresses

Primary practice location

1122 Highway 86
Piedmont, SC 29673-8904

Mailing address

PO Box 218
Piedmont, SC 29673-0218
Phone (864) 845-3402

Other names 2

  • Cook Dentistry Doing business as
  • Ryan M. Cook Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cook Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1588772008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296730218",
            "telephone_number": "864-845-3402",
            "fax_number": "864-845-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 HIGHWAY 86",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296738904",
            "telephone_number": "864-845-3402",
            "fax_number": "864-845-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTBRIDGE FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "WEATHERS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "864-845-3402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ryan M. Cook Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ryan M. Cook Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Piedmont, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.