Organization Active NPI

Cook Pediatric Dentistry

  • Pediatric Dentistry
  • Newburgh, IN
National Provider Identifier
1689043085
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12010543 Issued in IN
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

Updated by the provider on Sep 16, 2015

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.