Thomas Homer Cooper, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN4280 Issued in FL

Practice address

2505 W. Cervantes St.
Pensacola, FL 32505-7152

Phone

(850) 433-5360

Fax

(850) 439-2805

NPI assigned

Feb 20, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1740420488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 W. CERVANTES ST.",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057152",
            "telephone_number": "850-433-5360",
            "fax_number": "850-439-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 W. CERVANTES ST.",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057152",
            "telephone_number": "850-433-5360",
            "fax_number": "850-439-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "THOMAS",
        "middle_name": "HOMER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN4280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cooper-Solice Inc Dba Asbury Place
• Donna G Cooper, CRNP
• Kandia Latai Cooper
• Ryan Cooper, M.D.
• Tawana Cooper, ARNP
• Tiffiny Cooper, DO
• Beverly Lynn Copeland, LMHC
• Courtney W Copeland, CRNA
• Samantha Copeland
• Lawrence Luther Copenhaver III, DMD

• Dentist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.