Individual provider Active NPI

Taylor Grace Cook, DDS

  • General Practice Dentistry
  • New Braunfels, TX
National Provider Identifier
1790346971
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35104 Issued in TX
Practice address
1659 W State Highway 46 Ste 180
New Braunfels, TX 78132-4746
Phone
(830) 625-6600
Fax
(830) 629-9393
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35104 TX Primary

Addresses

Primary practice location

1659 W State Highway 46 Ste 180
New Braunfels, TX 78132-4746

Mailing address

1659 W State Highway 46 Ste 180
New Braunfels, TX 78132-4746
Phone (830) 625-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190820003171 TX Order and Referring Only - DentistPractitioner - Dentist 1456689025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35104TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westpointe Modern Dentistry, PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1790346971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 W STATE HIGHWAY 46 STE 180",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324746",
            "telephone_number": "830-625-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 W STATE HIGHWAY 46 STE 180",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324746",
            "telephone_number": "830-625-6600",
            "fax_number": "830-629-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TAYLOR",
        "middle_name": "GRACE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.