Jonathan Scott Cooper, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5152 Issued in OK

Practice address

3916 E 91St St
Tulsa, OK 74137-3602

Phone

(918) 488-8889

Fax

(918) 488-0676

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• C&C Ortho PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tulsa, OK
  • NPI 1386971406
  NPD (past) Authorized official
• Greater Tulsa Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tulsa, OK
  • NPI 1932821428
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1104041920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373602",
            "telephone_number": "918-488-8889",
            "fax_number": "918-488-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373602",
            "telephone_number": "918-488-8889",
            "fax_number": "918-488-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "5152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Cooper
• Dawn Charel Cooper, A.P.R.N., CNP
• Estacia D Cooper, CNP
• Ethan Cooper
• Evelyn Jean Cooper
• Lanayea Alene Cooper
• Laura Elizabeth Cooper, RD
• Lydia S Cooper
• Marcella Cooper
• Margaret Mary Cooper

• Orthodontics and Dentofacial Orthopedics Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.