Active NPI
John Mitchell Cooper, DDS
- Dentist
- Topeka, KS
National Provider Identifier
1689097826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5956
- Practice address
- 1813 SW Fairlawn Rd
Topeka, KS 66604-3646 - Phone
- (785) 272-9443
- Fax
- (785) 228-9071
- NPI assigned
- Jan 23, 2014
- Last updated
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5956 | KS | Primary |
Addresses
Primary practice location
1813 SW Fairlawn Rd
Topeka, KS 66604-3646
Mailing address
1813 SW Fairlawn Rd
Topeka, KS 66604-3646
Phone (785) 272-9443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376658815 | Other | KS | ORGANIZATION |
Other names 1
- Dr. Mitch Cooper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5956 | KS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SP Family Dentistry PA | Past | Accepting new patients | |
| Mitch Cooper DDS PA | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Topeka, KS
- NPI 1376658815
-
- Dental Clinic/Center
- Topeka, KS
- NPI 1376453548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1689097826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 SW FAIRLAWN RD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666043646",
"telephone_number": "785-272-9443",
"fax_number": "785-228-9071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 SW FAIRLAWN RD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666043646",
"telephone_number": "785-272-9443",
"fax_number": "785-228-9071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JOHN",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-23",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "5956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATION",
"identifier": "1376658815",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MITCH",
"last_name": "COOPER",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.