Stephanie Ligerakis Coop, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020614 Issued in MI

Practice address

1121 N Saginaw St Ste 4
Holly, MI 48442-1380

Phone

(248) 634-2301

Fax

(248) 634-6929

NPI assigned

May 31, 2011

Last updated

Dec 6, 2018By the provider in NPPES

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

Other names 1

• Dr. Elpitha Stephanie Ligerakis Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Practice roles

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.

• Coop Dental PLLC

  dba Holly Family Dental

  • General Practice Dentistry
  • Holly, MI
  • NPI 1487287314
  NPD (past) Authorized official
• H2G Dental PLLC

  dba The Village Dentist

  • General Practice Dentistry
  • Canton, MI
  • NPI 1124807227
  NPD (past)
• H2G Dental PLLC

  dba The Village Dentist

  • General Practice Dentistry
  • Canton, MI
  • NPI 1194407460
  NPD (past)

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1295029841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N SAGINAW ST STE 4",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421380",
            "telephone_number": "248-634-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N SAGINAW ST STE 4",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421380",
            "telephone_number": "248-634-2301",
            "fax_number": "248-634-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50530 Cherry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481874604",
            "country_code": "US",
            "telephone_number": "734-495-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOP",
        "first_name": "STEPHANIE",
        "middle_name": "LIGERAKIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELPITHA",
            "last_name": "LIGERAKIS",
            "middle_name": "STEPHANIE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffanie Sherea Clark, RMA
• Marcus Andre Collier
• Edward Albert Collins, MA
• Falon Convis
• Coop Dental PLLC (Holly Family Dental)
• Darlene a Stieber PHD PC
• Dawn Ag Kulongowski, DDS, PC (Creative Smiles Dental Group)
• Dawson Counseling LLC
• Brian Wade Dawson, L.M.S.W.
• Kelly Declark

• General Practice Dentistry in Holly, MI
• Providers in Holly, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.