Justin Ryan Cook, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901019571 Issued in MI

Practice address

2277 Science Prkwy
Okemos, MI 48864-2551

Phone

(517) 349-6669

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haslett Family Dentistry, PC

  • General Practice Dentistry
  • Haslett, MI
  • NPI 1902634991
  NPD Authorized official
• Okemos Family Dentistry, P.C.

  • Dentist
  • Okemos, MI
  • NPI 1780121319
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932319563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 BURBANK DR.",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "517-202-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 SCIENCE PRKWY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642551",
            "telephone_number": "517-349-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JUSTIN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consulting Urology Associates PLLC
• Convenient Family Dental Center, P.C. (Convenient Family Dental)
• Eniyah Conway
• Gregory D Cook, ACSW, CSW
• Holly Christine Cook, PA-C
• Kyle A Cook, NP
• Miranda Lynn Cook
• June Cooke, LMSW
• Sarah Platt Cooney, OTR
• Richard George Copen, PH.D.

• Dentist in Okemos, MI
• Providers in Okemos, MI by specialty
• Dentist in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.