NPIMap

Organization Active NPI

Cockley's Playtime Dental

Doing business as Playtime Dental

  • Pediatric Dentistry
  • Mansfield, OH
National Provider Identifier
1811206675
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30021945 Issued in OH
Legal business name
COCKLEY'S PLAYTIME DENTAL
Doing business as
Playtime Dental
Practice address
1145 Aspira CT
Mansfield, OH 44906-4125
Phone
(419) 774-7529
Fax
(419) 774-7529
NPI assigned
Sep 28, 2010
Last updated
Dec 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Dr. Jackson Cockley, DDSNPI 1487740114
Title
Dentist/President
Phone
(419) 774-7529

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30021945 OH Primary

Addresses

Primary practice location

1145 Aspira CT
Mansfield, OH 44906-4125

Mailing address

1145 Aspira CT
Mansfield, OH 44906-4125
Phone (419) 774-7529

Other names 1

  • Playtime Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1145 Aspira Ct
Mansfield, OH 44906
Phone (419) 774-7529

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1811206675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 ASPIRA CT",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064125",
            "telephone_number": "419-774-7529",
            "fax_number": "419-774-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 ASPIRA CT",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064125",
            "telephone_number": "419-774-7529",
            "fax_number": "419-774-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCKLEY'S PLAYTIME DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "COCKLEY",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "419-774-7529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30021945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Playtime Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.