NPIMap

Organization Active NPI

Todd T. Cooley DDS, PLLC

Doing business as Cascade Dental

  • Dentist
  • Sedro Woolley, WA
National Provider Identifier
1790899037
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TODD T. COOLEY DDS, PLLC
Doing business as
Cascade Dental
Practice address
2261 Hospital Dr. #101
Sedro Woolley, WA 98284
Phone
(360) 856-6011
Fax
(360) 856-2232
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Todd Thomas Cooley, DDSNPI 1528340858
Title
Member Owner
Phone
(360) 856-6011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

2261 Hospital Dr. #101
Sedro Woolley, WA 98284

Mailing address

2261 Hospital Dr. #101
Sedro Woolley, WA 98284
Phone (360) 856-6011

Other identifiers 1

IdentifierTypeStateIssuer
906277OtherUNITED CONCORDIA

Other names 1

  • Cascade Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2261 Hospital Dr
Ste 101
Sedro Woolley, WA 98284
Phone (360) 856-6011

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1790899037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 HOSPITAL DR. #101",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "98284",
            "telephone_number": "360-856-6011",
            "fax_number": "360-856-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 HOSPITAL DR. #101",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "98284",
            "telephone_number": "360-856-6011",
            "fax_number": "360-856-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD T. COOLEY DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER OWNER",
        "authorized_official_telephone_number": "360-856-6011",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "906277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.