Ivan N Cooper, DPM, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

IVAN N COOPER, DPM, PC

Practice address

125 Town Creek Rd E Ste 3
Lenoir City, TN 37772-5690

Phone

(865) 632-5700

Fax

(865) 632-5778

NPI assigned

Jun 29, 2026

Last updated

Jun 29, 2026By 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

Donna Ellis

Title

Billing Manager

Phone

(865) 632-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1619893971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWN CREEK RD E STE 3",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725690",
            "telephone_number": "865-632-5700",
            "fax_number": "865-632-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWN CREEK RD E STE 3",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725690",
            "telephone_number": "865-632-5700",
            "fax_number": "865-632-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN N COOPER, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "865-632-5700"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.