Active NPI
Camelia Nicole Cooper, D.D.S
- General Practice Dentistry
- Denton, TX
National Provider Identifier
1083817217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23274
- Practice address
- 2430 South I-35E
Denton, TX 76205 - Phone
- (940) 891-0389
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23274 | TX | Primary |
Addresses
Primary practice location
2430 South I-35E
Denton, TX 76205
Mailing address
160 E Vista Ridge Mall Dr
Apt #627
Lewisville, TX 75067-3715
Phone (919) 423-9442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23274 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083817217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E VISTA RIDGE MALL DR",
"address_2": "APT #627",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673715",
"telephone_number": "919-423-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 SOUTH I-35E",
"city": "DENTON",
"state": "TX",
"postal_code": "76205",
"telephone_number": "940-891-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CAMELIA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
- Mya Contreras
- Roberto Alonso Contreras
- Alissa Cook
- Carla Nicole Cook, M.A., LPC-ASSOCIATE
- Brad Lee Cooper, O.D.
- Courtney Lee Cooper
- Amy Leighann Copeland
- Whitney Quana Copeland, LVN
- Coppell Spine & Sports Rehab Limited Partnership (Physical Therapy of North Texas)
- Coppell Spine & Sports Rehab Limited Partnership
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.