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NPI · 1679357990 · NPPES-sourced

Ethan Cook DDS

ActiveGeneral Practice Dentistry
NPI Number
1679357990
Type 1 · Individual
Taxonomy Code
1223G0001X
Contact
(707) 579-2808
License CA · 108995
Last Updated
Enumerated
Primary practice addressCA · 95403-7223
2448 Guerneville Rd Ste 200Santa Rosa, CA 95403-7223
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About this NPIWhat this record shows.

NPI 1679357990 is registered to Ethan Cook DDS, a General Practice Dentistry practising at 2448 Guerneville Rd Ste 200 in Santa Rosa, California. General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ethan Cook DDS has been enumerated in the National Provider Identifier (NPI) registry since 2023.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ethan Cook DDS accepts. To confirm in-network status with your specific health plan, contact Ethan Cook DDS directly at (707) 579-2808.

Frequently asked

Yes. NPI 1679357990 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 579-2808.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ethan Cook DDS is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223G0001X
Last updated
Enumerated
StatusActive
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