Pamela Elizabeth Cooper, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3651002 Issued in MI

Practice address

202 Brady St
Sault Sainte Marie, MI 49783-2016

Phone

(906) 632-0074

Fax

(906) 632-0081

NPI assigned

Jan 13, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kevin P Cooper DDS PC

  • General Practice Dentistry
  • Sault Sainte Marie, MI
  • NPI 1215541305
  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1457717944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BRADY ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832016",
            "telephone_number": "906-632-0074",
            "fax_number": "906-632-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BRADY ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832016",
            "telephone_number": "906-632-0074",
            "fax_number": "906-632-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAMELA",
        "middle_name": "ELIZABETH",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "3651002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Conner, PA-C
• Jacey Lynn Cook, LLP
• Lara C Cook
• Goldie Lynn Cooper, LMSW,QMHP,QIDP,CMHP
• Kevin Patrick Cooper, D.D.S.
• Janessa K Copenhafer, PT, DPT, WCC
• Jamie Joy Costner, LMSW
• Janet B. Couch, MA
• Amie Covel
• William Douglas Cowan, M.D.

• Dental Hygienist in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.