Ronald L Cooper, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12544 Issued in MA

Practice address

1418 Main St
Tewksbury, MA 01876-2046

Phone

(978) 851-7890

Fax

(978) 851-7734

NPI assigned

Jul 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tewksbury Dental Associates

  dba Drs. Cooper, Spiller and Nahata

  • General Practice Dentistry
  • Tewksbury, MA
  • NPI 1902836786
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215953708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762046",
            "telephone_number": "978-851-7890",
            "fax_number": "978-851-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762046",
            "telephone_number": "978-851-7890",
            "fax_number": "978-851-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Care Alliance
• Commonwealth of Massachusetts (Department of Mental Health - Northeast Area Office)
• Commonwealth of Massachusetts Office for Pharmacy Services
• Connected Life Chiropractic
• Jennifer Ann Connolly, RN
• Core Resilience Counseling, PLLC
• Cristabel Corniel
• Kathleen Courtney
• Tara M. Coyne, NP
• Andrea Crane, DPT, PT

• General Practice Dentistry in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.