NPIMap

Organization Active NPI

Cooper Cosmetic & Restorative Dentistry, PA

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1609911478
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21841 Issued in TX
Legal business name
COOPER COSMETIC & RESTORATIVE DENTISTRY, PA
Practice address
4245 N Central Expy
Suite 240
Dallas, TX 75205-4581
Phone
(214) 559-3400
Fax
(214) 559-3409
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Joshua Ryan Cooper, DDSNPI 1366587123
Title
Owner
Phone
(214) 559-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21841 TX Primary

Addresses

Primary practice location

4245 N Central Expy
Suite 240
Dallas, TX 75205-4581

Mailing address

4245 N Central Expy
Suite 240
Dallas, TX 75205-4581
Phone (214) 559-3400

National Provider Directory

National Provider Directory

Locations

4245 N Central Expy
Ste 240
Dallas, TX 75205
Phone (214) 520-0887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1609911478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 N CENTRAL EXPY",
            "address_2": "SUITE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054581",
            "telephone_number": "214-559-3400",
            "fax_number": "214-559-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 N CENTRAL EXPY",
            "address_2": "SUITE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054581",
            "telephone_number": "214-559-3400",
            "fax_number": "214-559-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER COSMETIC & RESTORATIVE DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-559-3400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.