Organization Active NPI

Cooner Dental

  • Dental Clinic/Center
  • Jasper, AL
National Provider Identifier
1851659601
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3662 Issued in AL
Legal business name
COONER DENTAL
Practice address
1608 Highway 78 W
Jasper, AL 35501-3668
Phone
(205) 221-6218
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Dr. William Ray Cooner, DMDNPI 1649363995
Title
Owner
Phone
(205) 221-6218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3662 AL Primary

Addresses

Primary practice location

1608 Highway 78 W
Jasper, AL 35501-3668

Mailing address

1608 Highway 78 W
Jasper, AL 35501-3668
Phone (205) 221-6218

National Provider Directory

National Provider Directory

Locations

1608 Highway 78 W
Jasper, AL 35501
Phone (205) 221-6218

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1851659601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 HIGHWAY 78 W",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013668",
            "telephone_number": "205-221-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 HIGHWAY 78 W",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013668",
            "telephone_number": "205-221-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COONER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "COONER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-221-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "3662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.