Karen Elaine Cooper, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN011803 Issued in GA

Practice address

101 Little Neck Road
Suite F
Savannah, GA 31419-8828

Phone

(912) 920-6202

Fax

(912) 257-4004

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Karen Williams Cooper DDS Management LLC

  • Dentist
  • Savannah, GA
  • NPI 1275708570
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427110733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LITTLE NECK ROAD",
            "address_2": "SUITE F",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314198828",
            "telephone_number": "912-920-6202",
            "fax_number": "912-257-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LITTLE NECK ROAD",
            "address_2": "SUITE F",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314198828",
            "telephone_number": "912-920-6202",
            "fax_number": "912-257-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KAREN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "77637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anquetta Monique Cooper
• Carl J Cooper, MD
• Jamal Mario Cooper, BCABA
• Janiah Cooper, NURSING ASST.
• Kale Cooper, LMSW
• Philip Wendell Cooper Jr., D.D.S.
• Shauntae T Cooper, MASTER COSMETOLOGIST
• Siarah Cooper
• Suzanne Waltman Coote, LCSW
• Cootecare Counseling

• Dentist in Savannah, GA
• Providers in Savannah, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.