Jed M. Koops, DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JED M. KOOPS, DMD, LLC

Practice address

3690 Orange PL Ste 515
Beachwood, OH 44122-4466

Phone

(216) 464-2448

NPI assigned

Apr 25, 2019

Last updated

Apr 25, 2019By 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. Jed Michael Koops, DMDNPI 1871941153

Title

President

Phone

(440) 941-7824

Specialties & licenses 1

Addresses

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.

• Jed M Koops, D.M.D.

  • General Practice Dentistry
  • Beachwood, OH
  • NPI 1871941153
  NPD (past) Authorized official
• Jerome Livingston Faist, DDS

  • General Practice Dentistry
  • Beachwood, OH
  • NPI 1457360364
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1558925487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 WOODBURY RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441202441",
            "telephone_number": "440-941-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 515",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224466",
            "telephone_number": "216-464-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED M. KOOPS, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "KOOPS",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-941-7824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Linne Jarzembak, APRN,ACNP-BC
• Madison Jasper
• Jay H. Berk, PH.D., Inc.
• Jay H. Berk, PH.D., Inc.
• Jay H. Goldstein DDS Inc.
• Mary T Jeewek-Taylor, CNP
• Jennifer A Jeffers, LISW
• Kaeli Jeffers
• Michelle Ann Jefferson, PT, DPT, SCS, CSCS
• Sharon J Jelkovac, PA-C

• Dental Clinic/Center in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.