COOK CHILDRENS PHYSICIAN NETWORK


Address: 2600 E Berry Street, Fort Worth, TX 76105-4750
Phone: 8173474600

COOK CHILDRENS PHYSICIAN NETWORK (NPI# 1841601291) 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) 1841601291
Entity Type Organization
Organization Name COOK CHILDRENS PHYSICIAN NETWORK
Other Organization Name COOK CHILDREN'S DENTAL
Practice Address 2600 E Berry Street
Fort Worth
TX 76105-4750
Mailing Address Po Box 732669
Dallas
TX 75373-2669
Practice Telephone 8173474600
Practice Fax Number 8173474639
Mailing Telephone 8173474600
Mailing Fax Number 8173474639
Enumeration Date 2014-05-19
Last Update Date 2017-03-29
Authorized Official Name WILLIAM B. NELSON (PRESIDENT, CCPN)
Authorized Official Telephone 6828851416
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name COOK CHILDRENS PHYSICIAN NETWORK

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX DE1 1404428A9 01

Other Provider/Organization Names

Other Name Type Code
Cook Children's Dental Doing Business As Name - Organization

Office Location

Street Address 2600 E BERRY STREET
City FORT WORTH
State TX
Zip Code 76105-4750

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477030567 Brandon Ronald Lee Optometrist 2644 E Berry St., Fort Worth, TX 76105 2018-07-23
1366935165 National Vision, Inc. Technician/Technologist 2644 East Berry Street, Fort Worth, TX 76105 2018-06-07
1609363100 Courtney Mae Gramley Specialist/Technologist 1201 Wesleyan St., Fort Worth, TX 76105 2018-04-19
1992213078 Fresenius Medical Care Se Fort Worth, LLC Clinic/Center 3708 E Rosedale St, Fort Worth, TX 76105 2018-01-11
1285978692 Wal-mart Stores Texas LLC Technician/Technologist 2900 Renaissance Square, Fort Worth, TX 76105 2012-11-26
1548584998 Access Dental of Berry, P.a. Dentist 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 2010-03-15
1811211261 Access Dental of Rosedale P.a. Dentist 3620 E. Rosedale Street, Fort Worth, TX 76105 2010-03-15
1396345799 Danielle Hampton Pharmacist Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 2020-10-27
1174041578 Destonee Wilson Physician Assistant 1650 S Beach St, Fort Worth, TX 76105 2017-09-06
1184019929 Sheelarani Joseph Nurse Practitioner 1650 S Beach St, Fort Worth, TX 76105 2015-03-30
Find all providers in zip 76105

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306454178 Susan Roberts Pediatric Dentistry Pllc Dentist 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 2020-07-17
1538656988 Dc Dental Associates of Fort Worth Pllc Dentist 1114 North Beach Street, Fort Worth, TX 76111 2018-04-20
1043754740 Preece Church and Associates, Pediatric Dentistry Dentist 5700 Edwards Ranch Rd, Suite 100, Fort Worth, TX 76109-4127 2016-12-14
1619380805 Ikids Pediatric Dentistry and Orthodontics Nfw Dentist 7451 N Beach St, Ste 140, Fort Worth, TX 76137 2014-06-05
1710250097 Ikids Pediatric Dentistry Fort Worth, P.C. Dentist 4504 W Vickery Blvd, Fort Worth, TX 76107 2012-02-16
1194022327 Thien Tam Tran Dentist 225 Ne 28th St Ste 225, Fort Worth, TX 76164-7205 2011-02-24
1609001981 Sheela Jayappa Patel Dentist 2600 East Berry Street, Fort Worth, TX 76105-4750 2009-05-15
1245405208 Barnett Dental Group Dentist 6222 Hulen Bend Blvd, Fort Worth, TX 76132-2803 2008-04-29
1154463974 Vajahat Yar Khan Dentist 225 Ne 28th St, Fort Worth, TX 76164-7205 2007-02-12
1790833143 Isabel De Rosas Britain Dentist 1533 Merrimac Cir Ste 209, Fort Worth, TX 76107-6526 2007-01-08
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76105

Improve Information

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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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