Peter Gates Cooper, D.D.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Practice address

175 S El Molino Ave
Pasadena, CA 91101-2564

Phone

(626) 796-1241

NPI assigned

May 8, 2007

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 CA

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.

• Erin Lee, DDS, Apc

  • Periodontics
  • Pasadena, CA
  • NPI 1750224945
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871706648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012564",
            "telephone_number": "626-796-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012564",
            "telephone_number": "626-796-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PETER",
        "middle_name": "GATES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Michelle Cooley, DDS
• Christine D Cooper, PHD
• Danielle Cooper, PHD
• Jasmine Adesina Cooper
• Kayla Jane Cooper
• Roxanne Cooperstone, CADC LLL BOO1771124
• Alliyah Deshawn Cooperwood
• Randall Copas
• Erin Marie Copeland, LMFT
• Wendy Copeland

• Periodontics in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Periodontics in California

• 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.