NPIMap

Organization Active NPI

Alan R Cooper DPM

  • Podiatrist
  • Dayton, OH
National Provider Identifier
1154593846
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1527 Issued in OH
Legal business name
ALAN R COOPER DPM
Practice address
4569A Lansmore Dr
Dayton, OH 45415-3352
Phone
(937) 279-0363
Fax
(937) 276-2028
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dr. Alan R Cooper, DPM
Title
Owner
Phone
(937) 279-0363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1527 OH Primary

Addresses

Primary practice location

4569A Lansmore Dr
Dayton, OH 45415-3352

Mailing address

4569A Lansmore Dr
Dayton, OH 45415-3352
Phone (937) 279-0363

Other identifiers 1

IdentifierTypeStateIssuer
0380976MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1154593846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4569A LANSMORE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153352",
            "telephone_number": "937-279-0363",
            "fax_number": "937-276-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4569A LANSMORE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153352",
            "telephone_number": "937-279-0363",
            "fax_number": "937-276-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN R COOPER DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-279-0363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "1527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380976",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

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