Active NPI
Henry W. Cook, DMD, PA
- Pediatric Dentistry
- Brandon, MS
National Provider Identifier
1669186722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- HENRY W. COOK, DMD, PA
- Practice address
- 142 Gateway Dr
Brandon, MS 39042-3085 - Phone
- (601) 824-1950
- Fax
- (601) 824-1953
- NPI assigned
- Jan 12, 2023
- Last updated
- Feb 2, 2023
- 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
- Henry Cook, DMD
- Title
- Owner
- Phone
- (601) 824-1950
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary |
Addresses
Primary practice location
142 Gateway Dr
Brandon, MS 39042-3085
Mailing address
142 Gateway Dr
Brandon, MS 39042-3085
Phone (601) 824-1950
National Provider Directory
National Provider DirectoryLocations
142 Gateway Dr
Brandon, MS 39042
Phone (601) 824-1950
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.
-
- Pediatric Dentistry
- Brandon, MS
- NPI 1174608368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675296000000",
"number": "1669186722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 GATEWAY DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390423085",
"telephone_number": "601-824-1950",
"fax_number": "601-824-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 GATEWAY DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390423085",
"telephone_number": "601-824-1950",
"fax_number": "601-824-1953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY W. COOK, DMD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-12",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-824-1950",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.