Benjamin Cooperman, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

9640 Issued in AZ

Practice address

7422 E San Jacinto Dr.
Scottsdale, AZ 85258-2906

Phone

(480) 324-6457

NPI assigned

Jul 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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.

• Cooperman Family Dentistry PLLC

  • Dental Clinic/Center
  • Peoria, AZ
  • NPI 1417445099
  NPD Authorized official

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1225412950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 E SAN JACINTO DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582096",
            "telephone_number": "480-324-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7422 E SAN JACINTO DR.",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582906",
            "telephone_number": "480-324-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERMAN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6732",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "9640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225412950",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200592060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis C Cooper, M.D.
• Leann Mallonee Cooper, ST
• Mackenzie Cooper
• Mitchell Richard Cooper, D.D.S.
• Sarah Cooper, PT, DPT
• Duan Craig Copeland, MD
• Copilot Provider Support Services, LLC
• Copilot Provider Support Services, LLC
• Gerry Copiozo
• Brittany Michelle Coppelli, LPC

• Dentist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.