Vera Drecun Cooke, DDS/MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN1855302 Issued in MA

Practice address

69 Parker St Ste a
Newburyport, MA 01950-4012

Phone

(978) 465-3400

Fax

(978) 465-3448

NPI assigned

Dec 8, 2009

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 7, 2017 through Jun 7, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newburyport Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Newburyport, MA
  • NPI 1922045426
  Authorized official Same address or phone
• Lynn Oral Surgery Associates Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Lynn, MA
  • NPI 1508096496
  NPD (past)
• Salem Peabody Oral Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Peabody, MA
  • NPI 1437198819
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1659600419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PARKER ST STE A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504012",
            "telephone_number": "978-465-3400",
            "fax_number": "978-465-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 PARKER ST STE A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504012",
            "telephone_number": "978-465-3400",
            "fax_number": "978-465-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "VERA",
        "middle_name": "DRECUN",
        "name_prefix": "Dr.",
        "credential": "DDS/MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1855302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constellation Home Care Ma LLC (Constellation Home Care)
• Constellation Hospice Ma LLC (Constellation Hospice)
• Danielle Conti, LMHC
• Convenientmd - FFS UC LLC
• Convenientmd LLC
• Alyssa Cooper
• Bruce E Cooper, MD
• Susan Cooper
• Costello Psychotherapy PLLC
• Anthony Michael Costello, LMFT

• Oral and Maxillofacial Surgery (Dentist) in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.