Cooley Prosthetic Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

M755 Issued in SD

Legal business name

COOLEY PROSTHETIC DENTISTRY

Practice address

2525 W Main St Ste 205
Rapid City, SD 57702-2439

Phone

(605) 716-9061

NPI assigned

Aug 15, 2014

Last updated

Aug 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Cooley

Title

Owner

Phone

(605) 716-9061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1740689645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 205",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022439",
            "telephone_number": "605-716-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 205",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022439",
            "telephone_number": "605-716-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLEY PROSTHETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-716-9061"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "M755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell P Conti, LCSW
• Kevin Cook, DC
• Mark W Cook, PH.D.
• Craig R. Cooksley, DDS
• Sonya Coolahan
• Bryce Christen Cooley, DO
• Diane Coon, CNP
• Brooke Rose Cooper, PT, DPT
• Marissa Copas Weaver
• Rebecca Cordie

• Dental Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Dental Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.