Keith M Cooper DDS Inc

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

KEITH M COOPER DDS INC

Practice address

5150 Graves Ave Ste 12E
San Jose, CA 95129-5015

Phone

(408) 253-4150

Fax

(408) 253-1979

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Kieth Cooper, DDS

Title

Owner

Phone

(408) 253-4150

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Huy Pham, DDS

  • Periodontics
  • San Jose, CA
  • NPI 1063005726
  NPD

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1386249829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 GRAVES AVE STE 12E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295015",
            "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": "5150 GRAVES AVE STE 12E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295015",
            "telephone_number": "408-253-4150",
            "fax_number": "408-253-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH M COOPER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KIETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-253-4150",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Peter Keim, MSW, LCSW
• Rami Keisari, MD
• Arret Keita
• Yamadou Keita
• Keith D. Chow, O. D., Inc.
• Christina Keith, CMT
• Rosemary Keith, AMFT
• Pratima Kejriwal
• Agnese K Kelete
• Kaivalya Kelkar

• Prosthodontics in San Jose, CA
• Providers in San Jose, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.