Spencer Cooper, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109278 Issued in CA

Practice address

6160 Arlington Ave Ste D4
Riverside, CA 92504-1900

Phone

(951) 637-0013

NPI assigned

Sep 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: scooper1236462@direct.llu.edu

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1386420172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 SUNKIST DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 ARLINGTON AVE STE D4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041900",
            "telephone_number": "951-637-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SPENCER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Milagro Cooper, LMFT
• Michelle Cooper
• Noel Cooper, PSYD
• Quiana Latoya Cooper, NP
• Renise Cooper
• Cope Healthcare Consulting, Inc
• Michael Lewis Cope, CPO
• Jeffrey Thomas Copeland
• Nancy Alberta Copeland, MASTER'S IN PUBLIC H
• Alanna Coppenger

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.