George R. Cooper

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GEORGE R. COOPER

Practice address

2121 E Dupont Rd Ste E
Fort Wayne, IN 46825-1546

Phone

(260) 489-1508

Fax

(260) 338-2541

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Kelly C Stone

Title

Office Associate

Phone

(260) 489-1508

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George R Cooper, D.D.S.

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1053423731
  NPD
• George Robert Cooper IV, DMD

  • Dentist
  • Fort Wayne, IN
  • NPI 1659891984
  NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1760123343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E DUPONT RD STE E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251546",
            "telephone_number": "260-489-1508",
            "fax_number": "260-338-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E DUPONT RD STE E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251546",
            "telephone_number": "260-489-1508",
            "fax_number": "260-338-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R. COOPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE ASSOCIATE",
        "authorized_official_telephone_number": "260-489-1508"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anne@grcooperdds.com",
            "affiliation": "N",
            "address_1": "2121 E DuPont Rd Ste E",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468251546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gentlemind Health Services
• Gentlemind Skilled Services LLC
• Erin Gentry, PHARM D.
• Zyairah Gentry, RBT
• George D Taylor OD PC
• Evan George
• Jeron George, DO
• Melissa Elaine George, AU.D.
• Richard L George, MD
• George'S Family Pharmacy, Inc.

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.