Active NPI
Chelsie Cooper
- General Practice Dentistry
- Hot Springs Village, AR
National Provider Identifier
1396324927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4554
- Practice address
- 1396 Desoto Blvd
Hot Springs Village, AR 71909-7633 - Phone
- (501) 922-1045
- NPI assigned
- Apr 2, 2021
- Last updated
- Sep 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4554 | AR | Primary |
Addresses
Primary practice location
1396 Desoto Blvd
Hot Springs Village, AR 71909-7633
Mailing address
1396 Desoto Blvd
Hot Springs Village, AR 71909-7633
Phone (501) 922-1045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4554 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Dental PLLC | Current | Accepting new patients | |
| Village Dental Center, PLLC | General Practice | Current | Accepting new patients |
Locations
1396 Desoto Blvd
Hot Springs Village, AR 71909
Phone (501) 922-1045
Organizations & group practices 2
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.
-
dba Village Dental Group
- Dental Clinic/Center
- Hot Springs Village, AR
- NPI 1770444150
-
- General Practice Dentistry
- Hot Springs Village, AR
- NPI 1912638354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1396324927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1396 DESOTO BLVD",
"city": "HOT SPRINGS VILLAGE",
"state": "AR",
"postal_code": "719097633",
"telephone_number": "501-922-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1396 DESOTO BLVD",
"city": "HOT SPRINGS VILLAGE",
"state": "AR",
"postal_code": "719097633",
"telephone_number": "501-922-1045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CHELSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2024-09-25",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.