Jeffery Kenneth Cook, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

183 S Bloomingdale Rd Ste 101
Bloomingdale, IL 60108-1454

Phone

(630) 307-0124

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689753576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD STE 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081454",
            "telephone_number": "630-307-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD STE 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081454",
            "telephone_number": "630-307-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JEFFERY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan S Colorato
• Community Consolidated SD 93
• Comprehensive Dentistry LTD.
• Concentra Health Services, Inc.
• Kevin Connolly
• Caroline D Copeland, OTR/L
• Sydney Cordt, PA-C
• Javier Antonio Cortez, PSYD
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• General Practice Dentistry in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.