Active NPI
Rick Cofer Jr DDS PA
- Dentist
- Waco, TX
National Provider Identifier
1528154887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16764
- Legal business name
- RICK COFER JR DDS PA
- Practice address
- 5400 Crosslake Pkwy
Suite 400
Waco, TX 76712-6977 - Phone
- (254) 732-0309
- Fax
- (254) 732-0229
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rick E Cofer Jr., DDS
- Title
- Dentist
- Phone
- (254) 732-0309
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16764 | TX | Primary |
Addresses
Primary practice location
5400 Crosslake Pkwy
Suite 400
Waco, TX 76712-6977
Mailing address
5400 Crosslake Pkwy
Suite 400
Waco, TX 76712-6977
Phone (254) 732-0309
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88D951 | Other | BCBS | |
| 292392201 | Other | TX | TEXAS PROVIDER IDENTIFICATION |
National Provider Directory
National Provider Directory- Tax ID family
- Rick Cofer Jr DDS PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Whitney, TX
- NPI 1427300268
Locations
5400 Crosslake Pkwy
Ste 400
Waco, TX 76712
Phone (254) 732-0309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464825600000",
"number": "1528154887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 CROSSLAKE PKWY",
"address_2": "SUITE 400",
"city": "WACO",
"state": "TX",
"postal_code": "767126977",
"telephone_number": "254-732-0309",
"fax_number": "254-732-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 CROSSLAKE PKWY",
"address_2": "SUITE 400",
"city": "WACO",
"state": "TX",
"postal_code": "767126977",
"telephone_number": "254-732-0309",
"fax_number": "254-732-0229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICK COFER JR DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2016-06-02",
"status": "A",
"authorized_official_last_name": "COFER",
"authorized_official_first_name": "RICK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "254-732-0309",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "16764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "88D951",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS PROVIDER IDENTIFICATION",
"identifier": "292392201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
- Rae Dawn Richardson
- Rodney Charles Richie, M.D.
- Chase Stuart Richins, DPT
- Richland Nursing and Rehab Center LLC
- Katherine Renee Richman, PTA
- Lauren Riddle, MD
- Ridgecrest Retirement Center and Healthcare
- Ridgecrest Retirement Center, LTD
- Ridgecrest Retirement Center, LTD
- Ridgecrest Retirement Center, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.