Individual provider Active NPI

Cooper Douglas Aiken, DDS

  • Dentist
  • Hickory, NC
National Provider Identifier
1275227340
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13263 Issued in NC
Practice address
245 11TH Avenue NE
Hickory, NC 28601
Phone
(828) 322-4627
Fax
(828) 322-2127
NPI assigned
Jun 2, 2023
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13263 NC Primary

Addresses

Primary practice location

245 11TH Avenue NE
Hickory, NC 28601

Mailing address

1985 Tate Blvd SE Ste 757
Hickory, NC 28602-1433
Phone (828) 322-4627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pardue D.D.S. PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

1985 Tate Blvd SE
Ste 757
Hickory, NC 28602
Phone (828) 320-0733

245 11th Ave NE
Hickory, NC 28601
Phone (828) 328-3500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1275227340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 TATE BLVD SE STE 757",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021433",
            "telephone_number": "828-322-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 11TH AVENUE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-322-4627",
            "fax_number": "828-322-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIKEN",
        "first_name": "COOPER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-05-30",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.