Keith M. Cooper, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D009480 Issued in AZ

Practice address

11050 N Saguaro Blvd
Fountain Hills, AZ 85268-5549

Phone

(480) 837-1315

NPI assigned

Apr 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Keith Cooper DDS CP Ficoi PLLC

  • Dentist
  • Scottsdale, AZ
  • NPI 1770464679
  NPD Authorized official
• Huy Pham Dental Corp.

  • Periodontics
  • San Jose, CA
  • NPI 1528719556
  NPD

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1376809863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14312 N 31ST PLACE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "408-253-4150",
            "fax_number": "408-253-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 N SAGUARO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852685549",
            "telephone_number": "480-837-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Graves Ave",
            "address_2": "Ste 12E",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951295013",
            "country_code": "US",
            "telephone_number": "408-253-4150",
            "fax_number": "408-253-1979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KEITH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "39778",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TX ID",
            "identifier": "770434153",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Cole
• Gerald Joseph Comeau, RPH
• Community Care Partners, LLC (In Motion Medical)
• Megan Conley, ED.S., NCSP
• Debra Coons
• Pamela Joy Cooper, MA-CCC-SLP
• Nadine Coppola, PT
• Beatriz Teresa Cordero, PTA
• Angela Theresa Cordova, MA ED
• Natalia Guadalupe Coreas, SLP

• Dentist in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.