Ethan Cook, DDS
NPI 1679357990 · General Practice Dentistry · Santa Rosa, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Cook, DDS is a General Practice Dentistry provider in Santa Rosa, CA (NPI 1679357990).
Provider details
- NPI number
- 1679357990
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 108995 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2023-08-21
- Certified
- 2023-08-20
Frequently asked questions
- What is Ethan Cook's NPI number?
- Ethan Cook's National Provider Identifier (NPI) is 1679357990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Cook's specialty?
- Ethan Cook is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Ethan Cook located?
- Ethan Cook's practice location on file with NPPES is 2448 Guerneville Rd Ste 200, Santa Rosa, CA 95403-7223.
- What is Ethan Cook's phone number?
- The practice phone number listed in the NPPES registry for Ethan Cook is (707) 579-2808.
- Does Ethan Cook accept Medicare?
- Ethan Cook is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Cook's NPI active?
- Yes — Ethan Cook's NPI (1679357990) is active in the NPPES registry as of the last update on 2023-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.