Cook Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

10658 Issued in WA

Legal business name

COOK FAMILY DENTISTRY

Practice address

321 4TH St SE
Auburn, WA 98002-5500

Phone

(253) 735-1106

Fax

(253) 735-5440

NPI assigned

May 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Amy Cook, DDSNPI 1700069093

Title

Owner/Dentist

Phone

(253) 735-1106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Amy Jeneen Louisa Cook, DDS

  • Dentist
  • Auburn, WA
  • NPI 1700069093
  NPD (past) Authorized official
• Mary J Burns, DDS

  • General Practice Dentistry
  • Auburn, WA
  • NPI 1013910769
  NPD (past)

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1649626821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 4TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025500",
            "telephone_number": "253-735-1106",
            "fax_number": "253-735-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 4TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025500",
            "telephone_number": "253-735-1106",
            "fax_number": "253-735-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "253-735-1106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "10658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Conrad, MD
• Samuel Eiband Conte, PA
• Ambrose Lorenzo Contreras
• Diana Armida Contreras, MEDICAL INTERPRETER
• Convenient Medical Care
• Amy Jeneen Louisa Cook, DDS
• Darius Cook, DC
• Kristin Marie Copeland, M.S., CCC-SLP
• Tyron Corbray Sr., CPC
• Julianne Corpuz

• Dentist in Auburn, WA
• Providers in Auburn, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.