Patrick Cooper, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DL12900 Issued in MA

Practice address

80 High St
Medford, MA 02155-3872

Phone

(781) 391-8300

NPI assigned

Jun 13, 2016

Sex

Male

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: pcooper22814@direct.bostonchildrens.org

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.

• BCH Dental Group

  • Pediatric Dentistry
  • Boston, MA
  • NPI 1699876318
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1528417342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553872",
            "telephone_number": "781-391-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553872",
            "telephone_number": "781-391-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Carlton St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465621",
            "country_code": "US",
            "telephone_number": "860-933-7837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PATRICK",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DL12900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurence A Conway, MD
• Alesandra Cook
• Erin Cook, LMHC
• Meredith Cooke, M.ED.
• Jaleh A Cooney, DMD
• Cinzia G Coppola, CPNP
• Patricia Marie Cordeiro, ATC
• Kimberly J Costa, NP
• Diane Coste, NP
• Courtyard Nursing Care Center Partnership

• Pediatric Dentistry in Medford, MA
• Providers in Medford, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.