Nathan C Cooney DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8028926 Issued in UT

Legal business name

NATHAN C COONEY DDS PC

Doing business as

Cooney Family Dental

Practice address

1792 W 1700 S Ste 203
Syracuse, UT 84075-9651

Phone

(801) 779-6037

Fax

(801) 820-2774

NPI assigned

Dec 14, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Elise Nicole Van Tassell

Title

Office Manager

Phone

(801) 779-6037

Specialties & licenses 1

Addresses

Other names 1

• Cooney Family Dental 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.

• Nathan Christopher Cooney, DDS

  • Dentist
  • Syracuse, UT
  • NPI 1619263894
  NPD

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1417463308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 W 1700 S STE 203",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759651",
            "telephone_number": "801-779-6037",
            "fax_number": "801-820-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 W 1700 S STE 203",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759651",
            "telephone_number": "801-779-6037",
            "fax_number": "801-820-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN C COONEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "VAN TASSELL",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-779-6037",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8028926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooney Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Marie Morris, LCSW
• Amber Dawn Moss, FNP-BC
• Dariusz Pawel Mroziakiewicz, PHARMD
• Amanda Leanne Murray, DNP
• Nanette Murray, LCSW
• Brandie Naylor, CSW
• Taylie Marchele Naylor
• New Beginnings Ppa
• Andrew Kevin Nield, D.D.S
• Amy B Nielson

• General Practice Dentistry in Syracuse, UT
• Providers in Syracuse, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.