Rex Cockrell

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19527 Issued in TX

Practice address

3501 Towne Crossing Blvd
Suite 180
Mesquite, TX 75150-2783

Phone

(972) 270-7940

NPI assigned

Dec 5, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790843456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 INTERNATIONAL PKWY",
            "address_2": "SUITE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750816612",
            "telephone_number": "972-270-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TOWNE CROSSING BLVD",
            "address_2": "SUITE 180",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502783",
            "telephone_number": "972-270-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "REX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clean Dental of Mesquite, P.C. (Clean Dental)
• Lauren Clevenger, M.S. CF-SLP
• Clinica Guadalupe Mesquite LLC
• Andrew Cobb
• Tyesia Cochran, PCA FIDUCIARY NOTARY
• Code 3 Emergency Partners at Mesquite, LLC (Code 3 ER at Mesquite)
• Pamela Cogburn, M.S./C.C.C-SLP
• Barbi Cohen, PNP
• Steven D Cohen, MD
• Cok Health Services LLC

• Oral and Maxillofacial Surgery (Dentist) in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.