Cooperman Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9640 Issued in AZ

Legal business name

COOPERMAN FAMILY DENTISTRY PLLC

Doing business as

Benjamin Cooperman DMD

Practice address

25101 N Lake Pleasant Pkwy # B-1335
Peoria, AZ 85383-1386

Phone

(480) 324-6457

Fax

(480) 680-0921

NPI assigned

Apr 29, 2018

Last updated

Apr 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Peter Cooperman, DMDNPI 1225412950

Title

Owner

Phone

(480) 324-6457

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Benjamin Cooperman DMD Doing business as

Locations

Practitioners 1

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.

• Benjamin Cooperman, D.M.D.

  • Dentist
  • Scottsdale, AZ
  • NPI 1225412950
  NPD Authorized official

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524960000000",
    "number": "1417445099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 N LAKE PLEASANT PKWY # B-1335",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831386",
            "telephone_number": "480-324-6457",
            "fax_number": "480-680-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 N LAKE PLEASANT PKWY # B-1335",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831386",
            "telephone_number": "480-324-6457",
            "fax_number": "480-680-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERMAN FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-29",
        "last_updated": "2018-04-29",
        "status": "A",
        "authorized_official_last_name": "COOPERMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-324-6457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "9640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE1",
            "identifier": "1225412950",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin Cooperman DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan David Coons, PHARM D.
• Joel Robin Cooper, D.O.
• Kristin Cooper, RPH
• Randy I Cooper, M.D.
• Steven Michael Cooper, DMD
• Blair W. Copp, DC
• Copper Sky Dental, PLLC
• Gregory J Cordes, PA
• Ellen Diane Cordova, PA-C
• Core Family Dental

• Dental Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2018; 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.