Individual provider Active NPI

Daniel Steven Cook, D.D.S.

  • Dentist
  • Nipomo, CA
National Provider Identifier
1740306133
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27113 Issued in CA
Practice address
195 N Thompson Ave
Suite 3
Nipomo, CA 93444-9029
Phone
(805) 929-5000
Fax
(805) 929-5900
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27113 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

195 N Thompson Ave
Suite 3
Nipomo, CA 93444-9029

Mailing address

195 N Thompson Ave
Suite 3
Nipomo, CA 93444-9029
Phone (805) 929-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2010.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1740306133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N THOMPSON AVE",
            "address_2": "SUITE 3",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449029",
            "telephone_number": "805-929-5000",
            "fax_number": "805-929-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N THOMPSON AVE",
            "address_2": "SUITE 3",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449029",
            "telephone_number": "805-929-5000",
            "fax_number": "805-929-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DANIEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nipomo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.