John E. Cooper, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D2710 Issued in AZ

Legal business name

JOHN E. COOPER, D.D.S.

Practice address

11126 W Wisconsin Ave
Suite 1
Youngtown, AZ 85363-1068

Phone

(623) 933-3684

Fax

(623) 933-1226

NPI assigned

Sep 11, 2015

Last updated

Sep 11, 2015By 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

John E Cooper II, D.D.S.NPI 1265509319

Title

President

Phone

(623) 933-3684

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John E Cooper II, DDS

  • General Practice Dentistry
  • Youngtown, AZ
  • NPI 1265509319
  NPD (past) Authorized official

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1750759494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11126 W WISCONSIN AVE",
            "address_2": "SUITE 1",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631068",
            "telephone_number": "623-933-3684",
            "fax_number": "623-933-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 W WISCONSIN AVE",
            "address_2": "SUITE 1",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631068",
            "telephone_number": "623-933-3684",
            "fax_number": "623-933-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. COOPER, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-933-3684",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Handler, DPT
• Mancy Howard Jr., LPCC
• Michelle Hutchison, M.C., LPC
• Innerquest LLC
• John C. Lincoln, LLC (John C. Lincoln LifeStream at Youngtown)
• Amanda E Juarbe, OTR/L
• Daniel Lawrence Krotin, PHARM.D.
• Nicole Leiphon, RPH
• Lifestream Complete Senior Living Inc (LifeStream at Youngtown Green House 1)
• Lifestream Complete Senior Living Inc (LifeStream at Youngtown)

• General Practice Dentistry in Youngtown, AZ
• Providers in Youngtown, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.