Individual provider Active NPI

Todd Thomas Cooley, DDS

  • Dentist
  • Sedro Woolley, WA
National Provider Identifier
1528340858
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010079 Issued in WA
Practice address
2261 Hospital Dr Ste 101
Sedro Woolley, WA 98284-4329
Phone
(360) 856-6011
Fax
(360) 856-2232
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00010079 WA Primary

Addresses

Primary practice location

2261 Hospital Dr Ste 101
Sedro Woolley, WA 98284-4329

Mailing address

2261 Hospital Dr Ste 101
Sedro Woolley, WA 98284-4329
Phone (360) 856-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 16, 2019 through Jul 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00010079WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Todd T Cooley DDS Past Accepting new patients
Todd T. Cooley DDS, PLLC Dentist PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1528340858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 HOSPITAL DR STE 101",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844329",
            "telephone_number": "360-856-6011",
            "fax_number": "360-856-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 HOSPITAL DR STE 101",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844329",
            "telephone_number": "360-856-6011",
            "fax_number": "360-856-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "TODD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

Verify at the official NPI Registry.