NPIMap

Organization Active NPI

Miami Valley Prosthodontics Valerie Cooper DDS Ms LLC

  • Prosthodontics
  • Beavercreek, OH
National Provider Identifier
1790159119
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
30023136 Issued in OH
Legal business name
MIAMI VALLEY PROSTHODONTICS VALERIE COOPER DDS MS LLC
Practice address
1205 Meadow Bridge Dr
Beavercreek, OH 45434-6380
Phone
(937) 426-5411
NPI assigned
Nov 23, 2015
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Valerie Cooper, DDS MSNPI 1225364326
Title
Member
Phone
(937) 426-5411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 30023136 OH Primary

Addresses

Primary practice location

1205 Meadow Bridge Dr
Beavercreek, OH 45434-6380

Mailing address

1205 Meadow Bridge Dr
Beavercreek, OH 45434-6380

National Provider Directory

National Provider Directory

Locations

1205 Meadow Bridge Dr
Beavercreek, OH 45434
Phone (937) 426-5411

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1790159119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MEADOW BRIDGE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MEADOW BRIDGE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346380",
            "telephone_number": "937-426-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY PROSTHODONTICS VALERIE COOPER DDS MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "937-426-5411",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30023136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.