Individual provider Active NPI

Suzanne Kemp Coco, D.D.S., M.D.S.

  • Prosthodontics
  • Little Rock, AR
National Provider Identifier
1093980740
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
15 Issued in AR
Practice address
8028 Cantrell Rd
Little Rock, AR 72227-2419
Phone
(501) 319-7520
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 15 AR Primary

Addresses

Primary practice location

8028 Cantrell Rd
Little Rock, AR 72227-2419

Mailing address

8028 Cantrell Rd
Little Rock, AR 72227-2419
Phone (501) 319-7520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507001984 AR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7113246463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15ARMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Pros Little Rock Prosthodontics CurrentSince Feb 14, 2021 Accepting new patients
Hart and Coco Prosthodontics Prosthodontics CurrentSince Apr 26, 2020 Accepting new patients

Locations

8028 Cantrell Rd
Little Rock, AR 72227
Phone (501) 319-7520

2300 Andover Ct
Ste 400
Little Rock, AR 72227
Phone (501) 319-7520

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1093980740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272419",
            "telephone_number": "501-319-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272419",
            "telephone_number": "501-319-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCO",
        "first_name": "SUZANNE",
        "middle_name": "KEMP",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AR",
            "license": "15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.