Active NPI
Andrew J Cook, D.M.D.
- General Practice Dentistry
- Smiths Station, AL
National Provider Identifier
1669811477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6012
- Practice address
- 2355 Lee Road 430
Smiths Station, AL 36877-4832 - Phone
- (334) 297-5992
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6012 | AL | Primary |
Addresses
Primary practice location
2355 Lee Road 430
Smiths Station, AL 36877-4832
Mailing address
2355 Lee Road 430
Smiths Station, AL 36877-4832
Phone (334) 297-5992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6012 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Family Dental LLC | Past | Accepting new patients | |
| Stonecreek Acquisitions, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Smiths Station, AL
- NPI 1558893800
-
- Dentist
- Smiths Station, AL
- NPI 1861819971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1669811477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 LEE ROAD 430",
"city": "SMITHS STATION",
"state": "AL",
"postal_code": "368774832",
"telephone_number": "334-297-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 LEE ROAD 430",
"city": "SMITHS STATION",
"state": "AL",
"postal_code": "368774832",
"telephone_number": "334-297-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ANDREW",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "6012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smiths Station, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.