Cooper Differding, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

64885 Issued in CA

Practice address

10 Willow St
Mill Valley, CA 94941-2845

Phone

(415) 388-6100

Fax

(415) 388-6100

NPI assigned

May 17, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Dr. Garcia-Rojas D.D.S. Inc.

  • Dental Clinic/Center
  • Mill Valley, CA
  • NPI 1669940953
  NPD (past)
• S Hokmabadi DDS Inc

  dba total health dental care

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1568747400
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1588011845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILLOW ST STE 6",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412895",
            "telephone_number": "415-388-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILLOW ST",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412845",
            "telephone_number": "415-388-6100",
            "fax_number": "415-388-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3017 Telegraph Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052049",
            "country_code": "US",
            "telephone_number": "510-849-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIFFERDING",
        "first_name": "COOPER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma Pilar Francezka Violanda Depaz, COTA/L
• John Deri, M.D.
• Ron Destefano, PH.D.
• Maryse Devost-Varriale, RPH
• Cara Marie Devries, CARA DEVRIES
• Janet Croce Disanto, MFT
• Disick Dental Corporation (Evan S. Disick, D.D.S.)
• Evan Schaffer Disick, D.D.S.
• Sharon Marie Dittmer, D.C.
• Christine Marie Donohue, M.A.

• Dentist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.