Organization Active NPI

Cooke Richardson & Overstreet DDS PC

  • General Practice Dentistry
  • Glen Allen, VA
National Provider Identifier
1992872220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COOKE RICHARDSON & OVERSTREET DDS PC
Practice address
11551 Nuckols Rd
Ste B
Glen Allen, VA 23059
Phone
(804) 270-7737
Fax
(804) 270-7475
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Doublas R Overstreet, DDS
Title
Partner Doctor of Dental Science
Phone
(804) 270-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11551 Nuckols Rd
Ste B
Glen Allen, VA 23059

Mailing address

11551 Nuckols Rd
Ste B
Glen Allen, VA 23059
Phone (804) 270-7737

National Provider Directory

National Provider Directory
Tax ID family
Cooke Richardson Overstreet DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11551 Nuckols Rd
Ste B
Glen Allen, VA 23059
Phone (804) 270-7737

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992872220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD",
            "address_2": "STE B",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-270-7737",
            "fax_number": "804-270-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD",
            "address_2": "STE B",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-270-7737",
            "fax_number": "804-270-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKE RICHARDSON & OVERSTREET DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "DOUBLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER DOCTOR OF DENTAL SCIENCE",
        "authorized_official_telephone_number": "804-270-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.