Cooper Oral & Maxillofacial Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3032 Issued in TN

Legal business name

COOPER ORAL & MAXILLOFACIAL SURGERY, PC

Practice address

207 Twenty Third Avenue North
Nashville, TN 37203-1501

Phone

(615) 320-1392

Fax

(615) 329-4245

NPI assigned

Apr 10, 2007

Reactivated

Oct 12, 2010

Organization subpart

No

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

Authorized official

Name

Lindsey W. Cooper Sr., DMD

Title

Owner/President

Phone

(615) 320-1392

Specialties & licenses 4

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1770606014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 TWENTY THIRD AVENUE NORTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031501",
            "telephone_number": "615-320-1392",
            "fax_number": "615-329-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TWENTY THIRD AVENUE NORTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031501",
            "telephone_number": "615-320-1392",
            "fax_number": "615-329-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER ORAL & MAXILLOFACIAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-10-13",
        "deactivation_date": "2010-10-04",
        "reactivation_date": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "615-320-1392",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS3032",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS7219",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS4607",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST SPENCER A HALEY",
            "identifier": "3141185",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST TIMOTHY D PROVENCE",
            "identifier": "2006315",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST LINDSEY W COOPER",
            "identifier": "2009819",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon Coomer, PMHNP
• Erin Janai Coomes, AU.D.
• Kimberly Coon
• Ann Cooney
• Arthur David Coons, ARNP
• Amy Elizabeth Cooper, AGACNP
• Andrea G Cooper, OTR/L, CLT
• Andrew Cooper, MD
• Arlene Cooper, CRNA
• Caitlynn Victoria Cooper, MD

• Oral and Maxillofacial Surgery (Dentist) in Nashville, TN
• Providers in Nashville, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.