NPIMap

Organization Active NPI

Cooper Family Dentistry

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1407279003
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D008078 Issued in AZ
Legal business name
COOPER FAMILY DENTISTRY
Practice address
78 N Cooper Rd
Suite 107
Gilbert, AZ 85233-5210
Phone
(480) 964-1000
Fax
(480) 964-3076
NPI assigned
Feb 3, 2014
Last updated
Feb 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Mrs. Valerie S Fritts
Title
Office Manager
Phone
(480) 964-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D008078 AZ Primary

Addresses

Primary practice location

78 N Cooper Rd
Suite 107
Gilbert, AZ 85233-5210

Mailing address

78 N Cooper Rd
Suite 107
Gilbert, AZ 85233-5210
Phone (480) 964-1000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1407279003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 N COOPER RD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335210",
            "telephone_number": "480-964-1000",
            "fax_number": "480-964-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 N COOPER RD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335210",
            "telephone_number": "480-964-1000",
            "fax_number": "480-964-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-964-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.