NPIMap

Organization Active NPI

James M. Cooper, D.D.S., PA

  • Dental Clinic/Center
  • Jacksonville, AR
National Provider Identifier
1063630341
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2008 Issued in AR
Legal business name
JAMES M. COOPER, D.D.S., PA
Practice address
308 North James Street
Jacksonville, AR 72076-4018
Phone
(501) 982-7547
Fax
(507) 985-8421
NPI assigned
Apr 23, 2007
Last updated
Aug 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marilyn M. Vann
Title
Office Manager
Phone
(501) 982-7547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2008 AR Primary

Addresses

Primary practice location

308 North James Street
Jacksonville, AR 72076-4018

Mailing address

308 North James Street
Jacksonville, AR 72076-4018
Phone (501) 982-7547

Other identifiers 5

IdentifierTypeStateIssuer
5F573OtherARARKANSAS BCBS GROUP #
5Y893OtherARARKANSAS BCBS IND #
1874975OtherARUNITED CONCORDIA
638266OtherARUNITED CONCORDIA
58159OtherARARKANSAS BCBS IND #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1063630341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NORTH JAMES STREET",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764018",
            "telephone_number": "501-982-7547",
            "fax_number": "507-985-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NORTH JAMES STREET",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764018",
            "telephone_number": "501-982-7547",
            "fax_number": "507-985-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. COOPER, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-982-7547",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS GROUP #",
            "identifier": "5F573",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS IND #",
            "identifier": "5Y893",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1874975",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "638266",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS IND #",
            "identifier": "58159",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.