Organization Active NPI

Karen Williams Cooper DDS Management LLC

  • Dentist
  • Savannah, GA
National Provider Identifier
1275708570
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN011803 Issued in GA
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

Updated by the provider on Apr 28, 2008

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
800195682AMedicaidGA
1924606OtherGAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.