Active NPI
Daniel Steven Cook, D.D.S.
- Dentist
- Nipomo, CA
National Provider Identifier
1740306133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27113
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27113 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.