Individual provider Active NPI

Andrew D Cooper, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Royal Palm Beach, FL
National Provider Identifier
1710206149
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN18379 Issued in FL
Practice address
685 Royal Palm Beach Blvd
Suite 202
Royal Palm Beach, FL 33411-7642
Phone
(561) 790-0319
NPI assigned
May 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN18379 FL Primary

Addresses

Primary practice location

685 Royal Palm Beach Blvd
Suite 202
Royal Palm Beach, FL 33411-7642

Mailing address

685 Royal Palm Beach Blvd
Suite 202
Royal Palm Beach, FL 33411-7642
Phone (561) 790-0319

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

LicenseStateTypeSpecialty
DN18379FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Orthodontics, LLC Orthodontics and Dentofacial Orthopedics CurrentSince Jun 27, 2021 Accepting new patients
Cooper Orthodontics LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

685 Royal Palm Beach Blvd
Ste 202
Royal Palm Beach, FL 33411
Phone (561) 702-0908

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1710206149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 ROYAL PALM BEACH BLVD",
            "address_2": "SUITE 202",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117642",
            "telephone_number": "561-790-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 ROYAL PALM BEACH BLVD",
            "address_2": "SUITE 202",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117642",
            "telephone_number": "561-790-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN18379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.