Cooper, Provence & Haley, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS7219 Issued in TN

Legal business name

COOPER, PROVENCE & HALEY, PC

Practice address

207 23Rd Ave N
Nashville, TN 37203-1501

Phone

(615) 320-1392

Fax

(615) 329-4245

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Spencer A Haley, DDS

Title

Vice President

Phone

(615) 320-1392

Specialties & licenses 3

Addresses

Other identifiers 9

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey W Cooper, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
  • NPI 1043218670
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1851412811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E COLLEGE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552016",
            "telephone_number": "615-446-9669",
            "fax_number": "615-446-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 23RD AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031501",
            "telephone_number": "615-320-1392",
            "fax_number": "615-329-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER, PROVENCE & HALEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-320-1392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS3032",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS7219",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS4607",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TIMOTHY D. PROVENCE",
            "identifier": "1982601829",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST LINDSEY W. COOPER",
            "identifier": "2009819",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TIMOTHY PROVENCE",
            "identifier": "4607",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE SPENCER HALEY",
            "identifier": "7219",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST TIMOTHY D PROVENCE",
            "identifier": "2006315",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI LINDSEY W. COOPER,",
            "identifier": "1043218670",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - SPENCER A HALEY",
            "identifier": "1275531972",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # LINDSEY W. COOP",
            "identifier": "3032",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST SPENCER A HALEY",
            "identifier": "3141185",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Elbert Cooper, M.D.
• Megan McNish Cooper, NP
• Michael Cooper, MD
• Patti Cooper, ORT
• Phylicia Cooper
• Rhonda J Cooper, ACNP
• Robert Seth Cooper, M.D.
• Stephanie Cooper
• Timothy J Cooper, PSY.D.
• Tobias Milton Cooper, ACNPC-AG

• Oral and Maxillofacial Surgery (Dentist) in Nashville, TN
• Providers in Nashville, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.