Michael W. Cooper, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2569 Issued in AR

Legal business name

MICHAEL W. COOPER, D.D.S., P.A.

Practice address

110 S Inglewood Ave
Russellville, AR 72801-3353

Phone

(479) 968-4477

Fax

(479) 968-4498

NPI assigned

Nov 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael W. Cooper, D.D.S.NPI 1073775045

Title

Owner

Phone

(479) 968-4477

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael W. Cooper, D.D.S.

  • General Practice Dentistry
  • Russellville, AR
  • NPI 1073775045
  NPD (past) Authorized official
• Amy Lynn Kirby

  • General Practice Dentistry
  • Russellville, AR
  • NPI 1386121655
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518038728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S INGLEWOOD AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013353",
            "telephone_number": "479-968-4477",
            "fax_number": "479-968-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S INGLEWOOD AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013353",
            "telephone_number": "479-968-4477",
            "fax_number": "479-968-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. COOPER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-968-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittni Meredith, RECOVERY ASSISTANT
• Linda Metcalf, QBHP
• Jennifer Metz
• Kevin Meyer, M.D.
• Michael S Dalton DDS PA (Dalton Family Dentistry)
• William Taylor Middleton, OT
• Erica Millan
• Bailee Marie Miller, MS, OTR/L
• Jacqueline Miller, PT
• Megan Deanne Miller, MOT

• General Practice Dentistry in Russellville, AR
• Providers in Russellville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.