James Marion Cooper, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2008 Issued in AR

Practice address

308 N James St
Jacksonville, AR 72076-4018

Phone

(501) 982-7547

Fax

(501) 985-8421

NPI assigned

Dec 13, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

Practice roles

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.

• James M. Cooper, D.D.S., PA

  • Dental Clinic/Center
  • Jacksonville, AR
  • NPI 1063630341
  NPD (past)
• Jordan Todd Cooper DDS PA

  dba Cooper Family Dentistry

  • Dental Clinic/Center
  • Jacksonville, AR
  • NPI 1356620702
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811058506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N JAMES ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764018",
            "telephone_number": "501-982-7547",
            "fax_number": "501-985-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N JAMES ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764018",
            "telephone_number": "501-982-7547",
            "fax_number": "501-985-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JAMES",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58159",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "638266",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle M Collins
• Compassionate Care Home Health Inc
• Compassionate Hearts Counseling Collaborative LLC
• Anna Cook, PLMSW
• Cristena Cook, APRN
• Jordan Todd Cooper, D.D.S.
• Tammy M Copeland, CRNA
• Brooklyn Cordel
• Cornerstone Caregiving East LLC
• Cornerstone Pharmacy Jacksonville LLC (Cornerstone Pharmacy Jacksonville)

• General Practice Dentistry in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.