Kevin C Cooper, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401005946 Issued in VA

Practice address

3105 Western Branch Blvd
Suite 5
Chesapeake, VA 23321-5540

Phone

(757) 483-5152

Fax

(757) 483-7711

NPI assigned

Oct 18, 2005

Last updated

Jul 13, 2026By 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

Enrolled in VA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin C Cooper DDS PC

  • Dentist
  • Chesapeake, VA
  • NPI 1437324688
  NPD (past) Authorized official

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679562029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 WESTERN BRANCH BLVD",
            "address_2": "SUITE 5",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215540",
            "telephone_number": "757-483-5152",
            "fax_number": "757-483-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 WESTERN BRANCH BLVD",
            "address_2": "SUITE 5",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215540",
            "telephone_number": "757-483-5152",
            "fax_number": "757-483-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel E Cooley, O.D.
• Catherine Louise Cooper, OT/L, CHT, LANA-CLT
• Hannah Cooper, PT, DPT
• Hannah Elizabeth Cooper
• Jessica R Cooper, LPC
• Saeed Cooper
• Sarah Cooper, OD
• Shenell Cooper, MSW
• Coopers Transport LLC
• Asia Nachante Copeland

• Dentist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.