Jeril Ransom Cooper III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8755 Issued in GA

Practice address

10621 Highway 11
Trenton, GA 30752-3026

Phone

(706) 657-7561

Fax

(706) 675-8124

NPI assigned

Jun 12, 2006

Last updated

Jul 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

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.

• Red Rock Dental

  dba True Dental of Trenton

  • Dental Clinic/Center
  • Trenton, GA
  • NPI 1447971262
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1851333710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 HIGHWAY 11",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307523026",
            "telephone_number": "706-657-7561",
            "fax_number": "706-675-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 HIGHWAY 11",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307523026",
            "telephone_number": "706-657-7561",
            "fax_number": "706-675-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JERIL",
        "middle_name": "RANSOM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Family Medicine
• Alexandra Chandler, DPT
• Anuj Chandra, M.D.
• David Anthony Collins, PT, DPT
• Complete Chiropractic Care, LLC
• Barbara Ann Cowan, LISW
• Felix D Cruz, LPC
• Dade County Board of Health
• Dade County Chiropractic Center LLC
• Dade County School System

• General Practice Dentistry in Trenton, GA
• Providers in Trenton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.