Joel B. Cooper, D.M.D. – General Practice Dentistry

Key facts

NPI: 1578734752
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DS018213L (PA)
Practice address: 43 S Lansdowne Ave
Lansdowne, PA 19050-2804
Phone: (610) 623-7610
Fax: (610) 623-0023
NPI assigned: Mar 17, 2008
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Ameri Dental Group P.C. Dentist · Lansdowne, PA · NPI 1659636116

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
DS018213L	PA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Ameri Dental Group P.C.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	DS018213L	PA	Yes

Addresses

Primary practice location

43 S Lansdowne Ave
Lansdowne, PA 19050-2804

Mailing address

43 S Lansdowne Ave
Lansdowne, PA 19050-2804
Phone (610) 623-7610

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2008.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1578734752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 S LANSDOWNE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502804",
            "telephone_number": "610-623-7610",
            "fax_number": "610-623-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 S LANSDOWNE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502804",
            "telephone_number": "610-623-7610",
            "fax_number": "610-623-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOEL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018213L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

All providers in Lansdowne, PA · General Practice Dentistry in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.