Veronica Lin Cooper, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D10878 Issued in MN

Practice address

1628 30TH St NW
Bemidji, MN 56601-4690

Phone

(218) 444-2004

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Black Bear Family Dental PC

  • Dental Clinic/Center
  • Bemidji, MN
  • NPI 1609344894
  NPD (past) Authorized official
• Bemidji Dental Clinic

  • General Practice Dentistry
  • Bemidji, MN
  • NPI 1245321389
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1194944876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 30TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014690",
            "telephone_number": "218-444-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 30TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014690",
            "telephone_number": "218-444-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "VERONICA",
        "middle_name": "LIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "10878",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Cook, LICSW
• Samuel David Cook, M.D.
• Bret Eric Cooper, DDS MS
• Rachel Adelle Ihrig Cooper, MD
• Sharon Kay Cooper, LSW, LADC
• Core Health & Nutrition LLC
• Laura Cormican
• Joseph A. Corser, M.D.
• Costanzo Chiropractic
• Kristin Costanzo, DC

• Dentist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.