Earnest Cook, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30 01 4803 Issued in OH

Practice address

3989 Salem Avenue
Dayton, OH 45406-1531

Phone

(937) 277-8766

Fax

(937) 277-6291

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1619086337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 SALEM AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061531",
            "telephone_number": "937-277-8766",
            "fax_number": "937-277-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 SALEM AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061531",
            "telephone_number": "937-277-8766",
            "fax_number": "937-277-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "EARNEST",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30 01 4803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340036",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Cook, LPN
• Cherelle Cook, RN
• Clifton Cook II
• Crystal Cook, PA-C
• Dr Marquita N/a Cook, PHARM.D.
• Hope Cook
• Julian Avery Cook
• Kristoffer Lawrence Cook, CDCA
• Ladonna Cook, LPN
• Linda Kate Cook

• Dentist in Dayton, OH
• Providers in Dayton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.