NPIMap

Organization Active NPI

James M Cooper DDS PC

  • Dentist
  • Grosse Pointe Woods, MI
National Provider Identifier
1679633408
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13729 Issued in MI
Legal business name
JAMES M COOPER DDS PC
Practice address
19639 Mack Avenue
Grosse Pointe Woods, MI 48236-2535
Phone
(313) 881-8404
Fax
(313) 881-8656
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
James Michael Cooper, DDSNPI 1831242346
Title
Dentist
Phone
(313) 881-8404

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13729 MI Primary

Addresses

Primary practice location

19639 Mack Avenue
Grosse Pointe Woods, MI 48236-2535

Mailing address

19639 Mack Avenue
Grosse Pointe Woods, MI 48236-2535
Phone (313) 881-8404

Other names 1

  • NT Moisides & Cooper DDS PC Former legal business name

National Provider Directory

National Provider Directory

Locations

19639 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-8404

Practitioners & affiliated clinicians

Practitioners 2

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1679633408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19639 MACK AVENUE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362535",
            "telephone_number": "313-881-8404",
            "fax_number": "313-881-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19639 MACK AVENUE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362535",
            "telephone_number": "313-881-8404",
            "fax_number": "313-881-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M COOPER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-881-8404",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "13729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NT Moisides & Cooper DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.