Organization Active NPI

Noble P. Cooper, D.D.S., P.a.

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1407813983
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0874 Issued in SC
Legal business name
NOBLE P. COOPER, D.D.S., P.A.
Practice address
1415 Pine St
Columbia, SC 29204-1847
Phone
(803) 254-7791
Fax
(803) 254-8560
NPI assigned
Apr 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kimberly N Patterson
Title
Business Assistant
Phone
(803) 254-7791

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0874 SC Primary
General Practice Dentistry 1223G0001X 3038 SC

Addresses

Primary practice location

1415 Pine St
Columbia, SC 29204-1847

Mailing address

1415 Pine St
Columbia, SC 29204-1847
Phone (803) 254-7791

National Provider Directory

National Provider Directory

Locations

1415 Pine St
Columbia, SC 29204
Phone (704) 509-4999

Practitioners & affiliated clinicians

Practitioners 2

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407813983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041847",
            "telephone_number": "803-254-7791",
            "fax_number": "803-254-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041847",
            "telephone_number": "803-254-7791",
            "fax_number": "803-254-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE P. COOPER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BUSINESS ASSISTANT",
        "authorized_official_telephone_number": "803-254-7791"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "0874",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.