Active NPI
Cooke Richardson & Overstreet DDS PC
- General Practice Dentistry
- Glen Allen, VA
National Provider Identifier
1992872220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Glen Allen, VA
- NPI 1073065066
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.
-
- Dentist
- Glenn Allen, VA
- NPI 1851465637
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.