Individual provider Active NPI

Robert R Coope, DDS

  • General Practice Dentistry
  • Dover, DE
National Provider Identifier
1295754505
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
GI-0001177 Issued in DE
Practice address
1250 S Governors Ave
Dover, DE 19904-4802
Phone
(302) 741-2044
NPI assigned
Jul 18, 2006
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X GI-0001177 DE Primary

Addresses

Primary practice location

1250 S Governors Ave
Dover, DE 19904-4802

Mailing address

1250 S Governors Ave
Dover, DE 19904-4802
Phone (302) 741-2044

Other practice location 1

863 Buttner Pl Ste 203
Dover, DE 19904-2406
Phone (302) 741-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20151216002807 DE Order and Referring Only - DentistPractitioner - Dentist 5395046312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GI-0001177DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert R. Coope DDS PA Cosmetic and Comprehensive Dentistry General Practice CurrentSince Jan 31, 2021 Accepting new patients

Locations

1250 S Governors Ave
Dover, DE 19904
Phone (302) 741-2044

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1295754505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044802",
            "telephone_number": "302-741-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044802",
            "telephone_number": "302-741-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 Buttner Pl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199042406",
            "country_code": "US",
            "telephone_number": "302-741-2044",
            "fax_number": "302-741-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPE",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "GI-0001177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.