Active NPI
Sierra Danae Cooper, DMD
- Dentist
- Jericho, VT
National Provider Identifier
1912647199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 016.0134207
- Practice address
- 22 Raceway Rd
Jericho, VT 05465-2100 - Phone
- (802) 899-3973
- NPI assigned
- Mar 29, 2022
- Last updated
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0134207 | VT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
22 Raceway Rd
Jericho, VT 05465-2100
Mailing address
22 Raceway Rd
Jericho, VT 05465-2100
Phone (802) 899-3973
Other practice location 1
52 N Prospect St
Burlington, VT 05401-3338
Phone (802) 863-3479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0134207 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunkling and Penney Dentistry | Past | Accepting new patients | |
| Paul D. Dunkling, DDS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Jericho, VT
- NPI 1487817219
-
- General Practice Dentistry
- Jericho, VT
- NPI 1609090190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1912647199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 RACEWAY RD",
"city": "JERICHO",
"state": "VT",
"postal_code": "054652100",
"telephone_number": "802-899-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 RACEWAY RD",
"city": "JERICHO",
"state": "VT",
"postal_code": "054652100",
"telephone_number": "802-899-3973"
}
],
"practiceLocations": [
{
"address_1": "52 N Prospect St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054013338",
"country_code": "US",
"telephone_number": "802-863-3479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "SIERRA",
"middle_name": "DANAE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0134207",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jericho, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.