NPIMap

Organization Active NPI

C&C Ortho PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tulsa, OK
National Provider Identifier
1386971406
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5152 Issued in OK
Legal business name
C&C ORTHO PC
Practice address
3916 E 91St St
Tulsa, OK 74137-3602
Phone
(918) 488-8889
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Dr. Jonathan S. Cooper, DDSNPI 1104041920
Title
President
Phone
(918) 488-8889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 5152 OK Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 4919 OK

Addresses

Primary practice location

3916 E 91St St
Tulsa, OK 74137-3602

Mailing address

3916 E 91St St
Tulsa, OK 74137-3602
Phone (918) 488-8889

Other identifiers 2

IdentifierTypeStateIssuer
1447478698OtherOKINDIVIDUAL NPI #: 1447478698 - BRENDA CHOCKLEY, DDS
1447478698OtherOKINDIVIDUAL NPI: 1104041920 - JONATHAN COOPER, DDS

National Provider Directory

National Provider Directory

Locations

3916 E 91st St
Tulsa, OK 74137
Phone (918) 488-8889

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1386971406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373602",
            "telephone_number": "918-488-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373602",
            "telephone_number": "918-488-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&C ORTHO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-488-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "5152",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "4919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #: 1447478698 - BRENDA CHOCKLEY, DDS",
            "identifier": "1447478698",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI: 1104041920 - JONATHAN COOPER, DDS",
            "identifier": "1447478698",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.