Todd Cooper, DDS, Tyson Teeples, DMD, MD, Ryan Toponce, DMD, PS.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6293 Issued in WA

Legal business name

TODD COOPER, DDS, TYSON TEEPLES, DMD, MD, RYAN TOPONCE, DMD, PS.

Practice address

512 N Young St
Kennewick, WA 99336-7806

Phone

(509) 783-7600

Fax

(509) 783-0774

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Todd C Cooper, DDS

Title

Partner

Phone

(509) 783-7600

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 2

• Columbia Basin Oral & Maxillofacial Surgeons Other name
• Columbia Basin Oral and Maxillofacial Surgeons Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald J Marsh, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Kennewick, WA
  • NPI 1134147309

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD
• Matthew Kimball Black, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Kennewick, WA
  • NPI 1891173282
  NPD
• Jonathan G Crawford, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Kennewick, WA
  • NPI 1720012503

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1487728614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N YOUNG ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367806",
            "telephone_number": "509-783-7600",
            "fax_number": "509-783-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N YOUNG ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367806",
            "telephone_number": "509-783-7600",
            "fax_number": "509-783-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD COOPER, DDS, TYSON TEEPLES, DMD, MD, RYAN TOPONCE, DMD, PS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "509-783-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "6293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5042361",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5017660",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5017652",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5014337",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Basin Oral & Maxillofacial Surgeons",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Columbia Basin Oral and Maxillofacial Surgeons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristopher Richard Tidwell, PHARMD
• Christopher Douglas Timmins, LCSW
• Tin Duc Nguyen DMD and Lan Thi Ngoc Nguyen DMD, PLLC
• Angelia Christine Tinnin
• Lynn Marie Tisdale
• Candice Todd
• Ciera Anne Todd, DO
• Kevin Todd, LMHC
• Jessica Michelle Togiai
• Martha Evangelina Toledo

• Oral and Maxillofacial Surgery (Dentist) in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.