Individual provider Active NPI

Sean Leland Cook, D.D.S.,M.S.D.

  • Pediatric Dentistry
  • Newburgh, IN
National Provider Identifier
1962571802
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12010543A Issued in IN
Practice address
8011 Robin Hill Rd
Newburgh, IN 47630-3083
Phone
(812) 853-2977
Fax
(812) 853-1705
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12010543A IN Primary

Addresses

Primary practice location

8011 Robin Hill Rd
Newburgh, IN 47630-3083

Mailing address

8011 Robin Hill Rd
Newburgh, IN 47630-3083
Phone (812) 853-2977

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

LicenseStateTypeSpecialty
12010543AINMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Just for Kids Pediatric Dentitstry LLC Pediatric Dentistry Current Accepting new patients

Locations

8011 Robin Hill Rd
Newburgh, IN 47630
Phone (812) 853-2977

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962571802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 ROBIN HILL RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303083",
            "telephone_number": "812-853-2977",
            "fax_number": "812-853-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 ROBIN HILL RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303083",
            "telephone_number": "812-853-2977",
            "fax_number": "812-853-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SEAN",
        "middle_name": "LELAND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010543A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

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.

Verify at the official NPI Registry.