Active NPI
Karen G. Cook, DMD
- Dentist
- E Stroudsburg, PA
National Provider Identifier
1902866692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS022729L
- Practice address
- 200 E Brown St
Pocono Kids Dental Care
E Stroudsburg, PA 18301-3006 - Phone
- (570) 476-3585
- Fax
- (570) 421-9014
- NPI assigned
- Mar 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS022729L | PA | Primary |
Addresses
Primary practice location
200 E Brown St
Pocono Kids Dental Care
E Stroudsburg, PA 18301-3006
Mailing address
206 E Brown St
Pocono Healthcare Management - Professional BLDG.
East Stroudsburg, PA 18301-3006
Phone (570) 420-4969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018420900003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS022729L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902866692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E BROWN ST",
"address_2": "POCONO HEALTHCARE MANAGEMENT - PROFESSIONAL BLDG.",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-420-4969",
"fax_number": "570-476-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E BROWN ST",
"address_2": "POCONO KIDS DENTAL CARE",
"city": "E STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-476-3585",
"fax_number": "570-421-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "KAREN",
"middle_name": "G.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS022729L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018420900003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in E Stroudsburg, PA
- Frederick J Barnes, MD
- Rosemarie Bigus, PA-C
- Bhavna Chhabria, MD
- Yoon-Taek Chun, M.D.,FAAP
- Maurizio Cibischino, MD
- David P Russo MD LLC
- Michael F. Davis, DO
- Dr.William E. O'Brien D.C. P.C. (O'Brien Clinic of Chiropractic)
- Dynamic Mobile Xray Services LLC
- Family Care Centers Inc. (Lehigh Valley Physician Group - Pocono)
Sources for this page
- 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.