DR. JASON WILLIAM COOKE


Address: 2557b E Calumet St, Appleton, WI 54915-4748
Phone: 9207337770

DR. JASON WILLIAM COOKE (NPI# 1558662387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558662387
Entity Type Individual
Full Name DR. JASON WILLIAM COOKE
Credential DDS,MS
Practice Address 2557b E Calumet St
Appleton
WI 54915-4748
Practice Telephone 9207337770
Practice Fax Number 9207337798
Mailing Telephone 9207337770
Mailing Fax Number 9207337798
Enumeration Date 2010-11-10
Last Update Date 2010-11-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
5864-015 WI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI ORGANIZATION NPI 1134339500 01

Office Location

Street Address 2557B E CALUMET ST
City APPLETON
State WI
Zip Code 54915-4748

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205466737 Leyes Robers Dental LLC Dentist 3216 W County Rd Kk, Appleton, WI 54915 2020-01-23
1912426958 Shanna L. Larsen Registered Nurse 1101 E. South River St., Appleton, WI 54915 2017-09-11
1477082816 Amy Fazel Driver 226 E Calumet St, Appleton, WI 54915 2017-06-08
1871940213 B.a.israel LLC Community Based Residential Treatment Facility, Mental Illness N9520 Silver Court, Appleton, WI 54915 2016-05-16
1982933479 Stephanie I. Braski Counselor 1531 S. Oneida St, Appleton, WI 54915 2009-12-14
1386808319 Shawn S Williamson Emergency Medicine 1506 South Oneida Street, Appleton, WI 54915 2008-07-18
1700040870 Heidi Jo Van Toll Occupational Therapist 1335 S Oneida Street, Appleton, WI 54915 2008-07-17
1669639142 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center N9642 County Rd N, Appleton, WI 54915 2008-05-21
1265699748 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1531 S Madison St Fl 4, Appleton, WI 54915 2008-05-21
1073770558 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1531 S Madison St Ste 580, Appleton, WI 54915 2008-05-21
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134339500 Fox River Periodontics Sc Dentist 2557b East Calumet St, Appleton, WI 54915 2007-05-23
1821156241 Valley Periodontics, S.c. Dentist 2535 Norther Road, Appleton, WI 54914 2006-12-05
1952422073 George M Jumes Dentist 2535 Northern Rd, Appleton, WI 54914-8753 2007-04-03
1174644298 Todd L Needham Dentist 2535 Northern Rd, Appleton, WI 54914-8753 2007-04-03
1225159338 S Timothy Rose Dentist 2535 Northern Rd, Appleton, WI 54914-8753 2007-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235683830 Phillip Crum Dentist 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 2016-08-11
1285937557 Craig William Byers Dentist 2457 North Mayfair Road, Suite 102, Wauwatosa, WI 53226-1405 2010-12-08
1780998997 Thomas C. Kelley Dds Msd LLC Dentist 17280 W North Ave Ste 203, Brookfield, WI 53045-4366 2010-07-29
1376789933 Shoreline Periodontics Limited Dentist 2808 Kohler Memorial Dr, Suite 2, Sheboygan, WI 53081-3177 2008-12-31
1003052895 James P. Herman Dentist 5624 S Bonnie Ln, Hales Corners, WI 53130-1674 2008-12-28
1760684930 Jeffrey Joseph Burke Dentist 2323 S 109th St Ste 275, West Allis, WI 53227-1912 2007-06-01
1992915276 Scott George Metskas Dentist 3364 Iris Ln, Stevens Point, WI 54481-5618 2007-05-23
1891903043 Denise Y Shih Dentist 2853 N Marietta Ave, Milwaukee, WI 53211-3420 2007-05-20
1629280987 Nancy Ellen Shumate Dentist 2600 N Mayfair Rd Ste 340, Wauwatosa, WI 53226-1372 2007-05-07
1669684726 St Croix Periodontics Dentist 1200 Crestview Drive, Suite4, Hudson, WI 54016-9391 2007-05-03
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Competitor

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City APPLETON
Zip Code 54915

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Dataset Information

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.

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