David Michael Cook, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

410 W Poplar St
Harrisburg, IL 62946-1426

Phone

(618) 252-8333

Fax

(618) 252-8333

NPI assigned

Jul 14, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720086531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "address_2": "410 W. POPLAR ST.",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629460253",
            "telephone_number": "618-252-8333",
            "fax_number": "618-252-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W POPLAR ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461426",
            "telephone_number": "618-252-8333",
            "fax_number": "618-252-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "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": []
}

• Morgan Rachael Colbert, MSW
• Coleman Tri-County Services, Inc.
• Carla Sue Collins
• Community Health & Emergency Services, Inc (Harrisburg Medical Clinic)
• Community Health & Emergency Services, Inc.
• Chris Ann Cox, NURSE
• Alicia Crisenbery, LPN
• CT Scan Center, Inc.
• Gail Elizabeth Dailey, PTA
• Jaci Rae Dale, M.S., CCC-SLP

• General Practice Dentistry in Harrisburg, IL
• Providers in Harrisburg, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.