Active NPI
Karen Williams Cooper DDS Management LLC
- Dentist
- Savannah, GA
National Provider Identifier
1275708570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN011803
- Legal business name
- KAREN WILLIAMS COOPER DDS MANAGEMENT LLC
- Practice address
- 101 Little Neck Rd Ste F
Savannah, GA 31419-8828 - Phone
- (912) 920-6202
- Fax
- (912) 257-4004
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jill R Andreae
- Title
- Consultant
- Phone
- (847) 245-2451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN011803 | GA | Primary |
Addresses
Primary practice location
101 Little Neck Rd Ste F
Savannah, GA 31419-8828
Mailing address
101 Little Neck Rd Ste F
Savannah, GA 31419-8828
Phone (912) 920-6202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800195682A | Medicaid | GA | |
| 1924606 | Other | GA | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
101 Little Neck Rd
Ste F
Savannah, GA 31419
Phone (912) 920-6202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Savannah, GA
- NPI 1427110733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1275708570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LITTLE NECK RD STE F",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314198828",
"telephone_number": "912-920-6202",
"fax_number": "912-257-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LITTLE NECK RD STE F",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314198828",
"telephone_number": "912-920-6202",
"fax_number": "912-257-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN WILLIAMS COOPER DDS MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "ANDREAE",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "847-245-2451",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "GA",
"license": "DN011803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800195682A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1924606",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.