COOK PEDIATRIC DENTISTRY (NPI# 1669768529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669768529 |
| Entity Type | Organization |
| Organization Name | COOK PEDIATRIC DENTISTRY |
| Practice Address |
1901 S Union Ave Suite B6005 Tacoma WA 98405-1702 |
| Practice Telephone | 2536275470 |
| Practice Fax Number | 2536275474 |
| Mailing Telephone | 2536275470 |
| Mailing Fax Number | 2536275474 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | DR. DANIEL HENRY COOK (OWNER) |
| Authorized Official Telephone | 2536275470 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3793 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689043085 | Cook Pediatric Dentistry | Dentist | 8011 Robin Hill Rd, Newburgh, IN 47630-3083 | 2015-09-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COOK PEDIATRIC DENTISTRY, LLC | 1901 Union Ave Bldg B Ste 6005, Tacoma, WA 98405 |
| Street Address |
1901 S UNION AVE SUITE B6005 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071394 | Advanced Physical Therapy & Balance Rehabilitation LLC | Clinic/Center | 1901 S Union Ave, Ste B7011, Tacoma, WA 98405-1807 | 2005-05-24 |
| 1770183345 | Alex Marie Goode | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-31 |
| 1871191239 | Amy N Winter | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-16 |
| 1417555251 | Aleah Driscoll | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-14 |
| 1982211470 | Vanessa Gray | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-09-28 |
| 1386258192 | Julia Raquel Teall | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-08-31 |
| 1073126033 | Hannah Rose Hugo | Dietitian, Registered | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-08-28 |
| 1538786124 | Ashley Jane Wells | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-06-29 |
| 1750917878 | Elizabeth Eredia | Behavior Technician | 1901 S Union Ave, Allenmore Building B Suite 6007, Tacoma, WA 98405 | 2020-03-20 |
| 1083252225 | Arianna Pernela | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2019-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023429156 | John Gibbons | Dentist | 316 M L King Jr Way Ste 209, Tacoma, WA 98405-4254 | 2014-05-12 |
| 1700178878 | Michael Luong | Dentist | 1148 72nd St E, Ste B, Tacoma, WA 98404-1705 | 2011-05-09 |
| 1407166655 | Wjm Dental Inc | Dentist | 4002 South M Street, Suite A, Tacoma, WA 98418 | 2010-10-20 |
| 1790947778 | Pediatric Dental Care Center | Dentist | 316 Martin Luther King Jr Way Ste 209, Tacoma, WA 98405-4254 | 2008-06-30 |
| 1265573448 | Lindquist Dental Clinic for Children | Dentist | 130 131st St S, Tacoma, WA 98444-4804 | 2007-02-09 |
| 1942663927 | North Tacoma Pediatric Dentistry and Orthodontics LLC | Dentist | 3402 S 18th St, Suite B, Tacoma, WA 98405-1903 | 2016-03-29 |
| 1841586567 | Yasmine Zangeneh | Dentist | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2011-06-21 |
| 1356596811 | Aa Bansal Pllc | Dentist | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2008-11-25 |
| 1407043367 | George Calvin Brain | Dentist | 1901 S Union Ave, B-3008, Tacoma, WA 98405-1702 | 2007-09-25 |
| 1174617781 | George C. Brain Dds PC | Dentist | 1901 S Union Ave, Suite B-3008, Tacoma, WA 98405-1702 | 2006-10-03 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.