NPIMap

Individual provider Active NPI

Rachel Alyssa Cook, DDS

  • Pediatric Dentistry
  • Andover, MA
National Provider Identifier
1720437544
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1857892 Issued in MA
Practice address
1 Elm SQ Ste 1D
Andover, MA 01810-3667
Phone
(978) 296-4964
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN1857892 MA Primary

Addresses

Primary practice location

1 Elm SQ Ste 1D
Andover, MA 01810-3667

Mailing address

2601 Tupelo Cir
North Andover, MA 01845-6390
Phone (989) 284-5267

Other practice location 1

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6571

Other practice location 2

100 Amesbury St Ste 111
Lawrence, MA 01840-1321
Phone (978) 682-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1857892MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Pediatric Dentistry, LLC Pediatric Dentistry PastSince Oct 17, 2021 Accepting new patients
Maritza Morell DMD PC Pediatric Dentistry Past Accepting new patients
BCH Dental Group Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rcook32039@direct.bostonchildrens.org

Organizations & group practices 3

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1720437544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 TUPELO CIR",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456390",
            "telephone_number": "989-284-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELM SQ STE 1D",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103667",
            "telephone_number": "978-296-4964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Amesbury St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401321",
            "country_code": "US",
            "telephone_number": "978-682-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "RACHEL",
        "middle_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1857892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.