Active NPI
E.W. Cooper D.D.S
- General Practice Dentistry
- Johnson City, TN
National Provider Identifier
1063718724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- TN 3275
- Legal business name
- E.W. COOPER D.D.S
- Practice address
- 515 E Watauga Ave
Johnson City, TN 37601-4038 - Phone
- (423) 928-2621
- NPI assigned
- Jan 28, 2011
- Last updated
- Jan 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernest W Cooper
- Title
- Dentist
- Phone
- (423) 928-2621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | TN 3275 | TN | Primary |
Addresses
Primary practice location
515 E Watauga Ave
Johnson City, TN 37601-4038
Mailing address
515 East Watauga Ave
Johnson City, TN 37601-4038
Phone (423) 928-2621
National Provider Directory
National Provider DirectoryLocations
515 E Watauga Ave
Johnson City, TN 37601
Phone (423) 928-2621
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Johnson City, TN
- NPI 1841283975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296172800000",
"number": "1063718724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 EAST WATAUGA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014038",
"telephone_number": "423-928-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E WATAUGA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014038",
"telephone_number": "423-928-2621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E.W. COOPER D.D.S",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-28",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "423-928-2621"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "TN 3275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.