Individual provider Active NPI

Christopher John Cook, DMD

  • Endodontics
  • Louisville, KY
National Provider Identifier
1689613887
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7082 Issued in KY
Practice address
7980 New la Grange Rd Ste 2
Louisville, KY 40222-4767
Phone
(502) 412-3636
Fax
(502) 412-2827
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 12010338 IN
Endodontics 1223E0200X 7082 KY Primary

Addresses

Primary practice location

7980 New la Grange Rd Ste 2
Louisville, KY 40222-4767

Mailing address

7980 New la Grange Rd Ste 2
Louisville, KY 40222-4767
Phone (502) 412-3636

Other practice location 1

800 Rose St Ste D104
Lexington, KY 40536-7001
Phone (859) 323-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124001976 KY Practitioner - DentistPractitioner - Endodontics 0446742878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Endodontics
Education
University of Louisville School of Dentistry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Waller Ave
Suite 209
Lexington, KY 40503-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7082KYMDSocial Worker
12010338INMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Nov 12, 2025 Accepting new patients
University of Kentucky CurrentSince Nov 12, 2025 Accepting new patients
Calvin Duke Enterprises Endodontics Past Accepting new patients
University of Kentucky Endodontics Past Accepting new patients
University of Kentucky Past Accepting new patients

Locations

800 Rose St
Ste D104
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1689613887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 NEW LA GRANGE RD STE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224767",
            "telephone_number": "502-412-3636",
            "fax_number": "502-412-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 NEW LA GRANGE RD STE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224767",
            "telephone_number": "502-412-3636",
            "fax_number": "502-412-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St Ste D104",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367001",
            "country_code": "US",
            "telephone_number": "859-323-3368",
            "fax_number": "859-257-5859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12010338",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "7082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.