Active NPI
Lorin Cook, DDS
- General Practice Dentistry
- Vacaville, CA
National Provider Identifier
1700950698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22723
- Practice address
- 301 Alamo Dr
Suite A1
Vacaville, CA 95688-4246 - Phone
- (707) 474-9621
- Fax
- (707) 474-9061
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 22723 | CA | Primary |
Addresses
Primary practice location
301 Alamo Dr
Suite A1
Vacaville, CA 95688-4246
Mailing address
301 Alamo Dr
Suite A1
Vacaville, CA 95688-4246
Phone (707) 474-9621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150708001627 | CA | Practitioner - Oral Surgery | 2365754173 | Practice locations: Vacaville, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22723 | CA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1700950698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ALAMO DR",
"address_2": "SUITE A1",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884246",
"telephone_number": "707-474-9621",
"fax_number": "707-474-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 ALAMO DR",
"address_2": "SUITE A1",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884246",
"telephone_number": "707-474-9621",
"fax_number": "707-474-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "LORIN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "22723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.