Jeffrey Michael Cooper, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G1-0001196 Issued in DE

Practice address

18947 John J Williams Hwy
Ste 301
Rehoboth Beach, DE 19971-4474

Phone

(302) 645-7200

Fax

(302) 295-0003

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Jeffrey M. Cooper, D.M.D., P.a.

  • General Practice Dentistry
  • Rehoboth Beach, DE
  • NPI 1356533616
  NPD (past) Authorized official
• CCD Delaware 1 LLC

  • General Practice Dentistry
  • Rehoboth Beach, DE
  • NPI 1639090038
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1801005475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "address_2": "STE 301",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714474",
            "telephone_number": "302-645-7200",
            "fax_number": "302-295-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "address_2": "STE 301",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714474",
            "telephone_number": "302-645-7200",
            "fax_number": "302-295-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Earl Conley, DDS
• Laurie A Conti, O.D.
• Anne Dee Conway, RN
• Frederick Cook, MD
• Jacqueline Marie Cooke, MSN, RNC, APN
• Core Concierge Primary Care and Wellness LLC
• April Jane Gumatas Corros
• Conor Patrick Coughlan, PT, DPT
• CPS Medical Equipment and Supply
• Bonnie L Cunningham, APRN,BC

• General Practice Dentistry in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.