Kevin P Cooper DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KEVIN P COOPER DDS PC

Practice address

202 Brady Street
Sault Sainte Marie, MI 49783

Phone

(906) 632-0074

Fax

(906) 632-0081

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Kevin P Cooper, DDS

Title

Owner

Phone

(906) 632-0074

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sydney Suchey, DDS

  • Dentist
  • Sault Sainte Marie, MI
  • NPI 1851073399
  NPD
• Pamela Elizabeth Cooper, RDH

  • Dental Hygienist
  • Sault Sainte Marie, MI
  • NPI 1457717944
  NPD (past)

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1215541305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BRADY STREET",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "906-632-0074",
            "fax_number": "906-632-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BRADY STREET",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "906-632-0074",
            "fax_number": "906-632-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P COOPER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-632-0074",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Kelly
• Mary Rose Kelly
• Kristin Dione Kempf-Roffers, LMSW
• Thomas Kerr
• Kevin Jon Lawson MD PC
• Chasidy Ann(E) Keyser, MS, LBSW
• Alexa Rae Killips, LMSW
• Mikayla Kime
• Rachel Joslin Kiurski
• Todd Richard Klairter

• General Practice Dentistry in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.