Steven R. & Jennifer S. Cooper DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STEVEN R. & JENNIFER S. COOPER DMD PA

Doing business as

Cooper Dental Group

Practice address

1275 W. Granada Blvd., Suite 1
Ormond Beach, FL 32174

Phone

(386) 672-0955

Fax

(386) 672-5177

NPI assigned

May 20, 2013

Last updated

May 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven R. Cooper, DMDNPI 1538280409

Title

Owner Doctor

Phone

(386) 672-0955

Specialties & licenses 1

Addresses

Other names 1

• Cooper Dental Group Doing business as

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.

• Steven R Cooper, D.M.D.

  • General Practice Dentistry
  • Ormond Beach, FL
  • NPI 1538280409
  Authorized official Same address or phone

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1124464938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W. GRANADA BLVD., SUITE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-672-0955",
            "fax_number": "386-672-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W. GRANADA BLVD., SUITE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-672-0955",
            "fax_number": "386-672-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R. & JENNIFER S. COOPER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "386-672-0955",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Staudt Dental, LLC (Cypress Dental of Ormond Beach)
• Michael W Stauffer Jr., LMT
• Deanna Stefanavage, RBT
• William Steger
• Stephen H Levine MD Facs PA
• Xuan Stevens, PH.D.
• Teresa Stevenson, MA, LMHC
• Gail Stillings-Burch, CRNFA
• Stanley Francis Stockhammer Jr., D.O.
• Nicole Strang, PA-C

• General Practice Dentistry in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.