Dakota Lana Cooper, DTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Practice address

3315 S Dorsey LN
Tempe, AZ 85282-5704

Phone

(847) 331-0493

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lana Victoria Cooper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1114511599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 S DORSEY LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825704",
            "telephone_number": "847-331-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 S DORSEY LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825704",
            "telephone_number": "847-331-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DAKOTA",
        "middle_name": "LANA",
        "credential": "DTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "COOPER",
            "middle_name": "VICTORIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzanne M Cook, MD
• Donna Cooks
• Ryan J Coolie
• Ryan Nicholas Coon, ND
• Deborah A Cooney, C.N.P.
• Kerry Cooper, M.D.
• Lori J Cooper, APRN
• Copper Star Medical Supply
• Coraesthetics PLLC
• Andrew Corbett

• Registered Dietetic Technician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Registered Dietetic Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.