Sugarland Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1030 Issued in WY

Legal business name

SUGARLAND DENTAL PC

Practice address

941A Sugarland Drive
Sheridan, WY 82801

Phone

(307) 673-5522

Fax

(307) 673-0658

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Brian Jeffrey Cook, DDSNPI 1942538384

Title

President Sugarland Dental PC

Phone

(307) 673-5522

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

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

• Brian Jeffrey Cook, D.D.S.

  • General Practice Dentistry
  • Sheridan, WY
  • NPI 1942538384
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1922110147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941A SUGARLAND DRIVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-673-5522",
            "fax_number": "307-673-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941A SUGARLAND DRIVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-673-5522",
            "fax_number": "307-673-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLAND DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT SUGARLAND DENTAL PC",
        "authorized_official_telephone_number": "307-673-5522",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1030",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6291",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120907800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Scherry Strahan, PA-C
• Michael J Strahan, MD
• Rachel Lauren Stratchko
• Janice Strayve, CTRS
• Sugar Land Walk-in Clinic
• Sultan Trading Holdings LLC
• Travis Sutter, PHARMD
• Davis M Swan, MD
• Michael Swan, LPC
• Jennifer Swaney, CRC, PPC

• General Practice Dentistry in Sheridan, WY
• Providers in Sheridan, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.