NPIMap

Organization Active NPI

Jordan Cooper DDS PLLC

  • General Practice Dentistry
  • Springdale, AR
National Provider Identifier
1699036137
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3565 Issued in AR
Legal business name
JORDAN COOPER DDS PLLC
Practice address
1333 Arapaho Ave
Suite B
Springdale, AR 72764-6936
Phone
(479) 419-5959
Fax
(479) 935-9248
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Melissa Meredith
Title
Executive Director of Operations
Phone
(501) 231-9928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3565 AR Primary

Addresses

Primary practice location

1333 Arapaho Ave
Suite B
Springdale, AR 72764-6936

Mailing address

PO Box 217
Lowell, AR 72745-0217
Phone (479) 419-5959

Other names 1

  • Community General and Implant Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1333 Arapaho Ave
Ste B
Springdale, AR 72764
Phone (479) 419-5959

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1699036137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727450217",
            "telephone_number": "479-419-5959",
            "fax_number": "479-935-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 ARAPAHO AVE",
            "address_2": "SUITE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646936",
            "telephone_number": "479-419-5959",
            "fax_number": "479-935-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN COOPER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "501-231-9928"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community General and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.