Kevin Cook Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021002209 Issued in IL

Legal business name

KEVIN COOK ORTHODONTICS

Practice address

3108 W. Deyoung St.
Suite a
Marion, IL 62959-5548

Phone

(618) 997-6640

Fax

(618) 997-6641

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kevin Cook, DDS, MSNPI 1538597125

Title

Doctor/ Owner

Phone

(618) 997-6640

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Kevin Cook, D.D.S., M.S.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marion, IL
  • NPI 1538597125
  NPD (past) Authorized official

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1831593763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 W. DEYOUNG ST.",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595548",
            "telephone_number": "618-997-6640",
            "fax_number": "618-997-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 W. DEYOUNG ST.",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595548",
            "telephone_number": "618-997-6640",
            "fax_number": "618-997-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN COOK ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "618-997-6640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lee Kelly, LPN
• Theresa Ann Kelly, PSY.D.
• David Kennedy, RRT
• Nicole Lynette Kennedy, MD
• Shawna Kerley, LPN
• Kasey Dawn Khan, APN
• Lindsey Kidd, MSW,LSW
• Alethia Julianna Kimble, AMSA
• Rebecca Ann Kinder
• David Henry Kindred, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Marion, IL
• Providers in Marion, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.