Active NPI
Cooper Pasque, DDS
- Endodontics
- Fort Riley, KS
National Provider Identifier
1417503459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7195
- Practice address
- 6268 Knight PL Apt 2
Fort Riley, KS 66442-3325 - Phone
- (910) 643-1607
- NPI assigned
- Aug 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 7195 | OK | Primary |
Addresses
Primary practice location
6268 Knight PL Apt 2
Fort Riley, KS 66442-3325
Mailing address
6268 Knight PL Apt 2
Fort Riley, KS 66442-3325
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cooper.a.pasque.mil@mail.mil |
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 |
|---|---|---|---|
| 7195 | OK | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1417503459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6268 KNIGHT PL APT 2",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664423325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6268 KNIGHT PL APT 2",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664423325",
"telephone_number": "910-643-1607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASQUE",
"first_name": "COOPER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OK",
"license": "7195",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cooper.a.pasque.mil@mail.mil",
"affiliation": "N",
"endpointDescription": "Work Email",
"address_1": "6268 Knight Pl Apt 2",
"city": "Fort Riley",
"state": "KS",
"country_code": "US",
"postal_code": "664423325",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.