William Ray Cooner, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AL 3662 Issued in AL

Practice address

1608 Highway 78 W
Jasper, AL 35501-3668

Phone

(205) 221-6218

Fax

(205) 221-0998

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Cooner Dental

  • Dental Clinic/Center
  • Jasper, AL
  • NPI 1851659601
  NPD (past) Authorized official

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649363995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 HIGHWAY 78 W",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013668",
            "telephone_number": "205-221-6218",
            "fax_number": "205-221-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 HIGHWAY 78 W",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013668",
            "telephone_number": "205-221-6218",
            "fax_number": "205-221-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONER",
        "first_name": "WILLIAM",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "AL 3662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concerned Citizens for Our Youth, Inc. (Beacon House)
• Cook Wholesale Co Inc (Cook AAC and Rehab)
• Maya Cook-Stroup, ALC
• Cooner Dental
• Logan Whitney Cooner, D.M.D.
• Amber Lashae Corbell
• Erin N Cordell, OTR/L
• Cornerstone Counseling and Evaluation
• Courage Counseling & Consulting LLC
• Garrison Stephen Cowen, M.D.

• General Practice Dentistry in Jasper, AL
• Providers in Jasper, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.