Mariah Marissa Fields-Cooper, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34856 Issued in TX

Practice address

1499 E Marshall Ave
Longview, TX 75601-6814

Phone

(903) 242-9777

Fax

(903) 242-9778

NPI assigned

Feb 18, 2019

Sex

Female

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 TX

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

Locations

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.

• Alpha First Dental Clinic P.a

  • General Practice Dentistry
  • Marshall, TX
  • NPI 1699403584

  General Practice

  NPD
• Alpha First Dental Clinic P.a

  • General Practice Dentistry
  • Longview, TX
  • NPI 1720269707

  General Practice

  NPD (past)
• The University of Texas Health Science Center at Houston

  • General Practice Dentistry
  • Houston, TX
  • NPI 1265561245

  General Practice

  NPD (past)

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1245796002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016814",
            "telephone_number": "903-242-9777",
            "fax_number": "903-242-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016814",
            "telephone_number": "903-242-9777",
            "fax_number": "903-242-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS-COOPER",
        "first_name": "MARIAH",
        "middle_name": "MARISSA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Ferguson
• Eric Fernandez, CRNA
• John M Ferrell, M.D.
• Valerie Elizabeth Ferrell, LPA
• Krystal Kelli Fetting, LCDC
• Bliss Fields
• John H Fields, PA
• Michael Douglas Fields Jr., DC
• Itzel Figueroa, LPC-A
• Niki Michelle Fincher, CRNA

• All providers in Longview, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.