Individual provider Active NPI

Cooper Long Ogg, DMD

  • Dentist
  • Saltillo, MS
National Provider Identifier
1790915833
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3594 Issued in MS
Practice address
2690 Highway 145
Saltillo, MS 38866-6941
Phone
(662) 869-2100
NPI assigned
Jul 23, 2009
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3594 MS Primary

Addresses

Primary practice location

2690 Highway 145
Saltillo, MS 38866-6941

Mailing address

2690 Highway 145
Saltillo, MS 38866-6941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 20, 2015 through May 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3594MSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ritter & Backstrom Dentistry PLLC PastSince Feb 25, 2024 Accepting new patients
Ritter Family Dentistry PLLC Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1790915833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 HIGHWAY 145",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388666941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 HIGHWAY 145",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388666941",
            "telephone_number": "662-869-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGG",
        "first_name": "COOPER",
        "middle_name": "LONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltillo, MS

Sources for this page

Verify at the official NPI Registry.