Active NPI
Cook Pediatric Dentistry
- Pediatric Dentistry
- Newburgh, IN
National Provider Identifier
1689043085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12010543
- Legal business name
- COOK PEDIATRIC DENTISTRY
- Practice address
- 8011 Robin Hill Rd
Newburgh, IN 47630-3083 - Phone
- (812) 853-2977
- Fax
- (812) 853-1705
- NPI assigned
- Sep 16, 2015
- 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
- Dr. Sean Leland Cook, DDS MSD
- Title
- Owner
- Phone
- (812) 853-2977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12010543 | IN | Primary |
Addresses
Primary practice location
8011 Robin Hill Rd
Newburgh, IN 47630-3083
Mailing address
8011 Robin Hill Rd
PO Box 206
Newburgh, IN 47630-3083
Phone (812) 853-2977
National Provider Directory
National Provider DirectoryLocations
8011 Robin Hill Rd
Newburgh, IN 47630
Phone (812) 853-2977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442361600000",
"number": "1689043085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8011 ROBIN HILL RD",
"address_2": "PO BOX 206",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476303083",
"telephone_number": "812-853-2977",
"fax_number": "812-853-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8011 ROBIN HILL RD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476303083",
"telephone_number": "812-853-2977",
"fax_number": "812-853-1705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOK PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "LELAND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-853-2977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MSD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "IN",
"license": "12010543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.