Todd T Cooley DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010079 Issued in WA

Legal business name

TODD T COOLEY DDS

Practice address

2124 Riverside Dr
Suite 108
Mount Vernon, WA 98273

Phone

(360) 424-8884

Fax

(360) 424-1640

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Todd Thomas Cooley, DDSNPI 1528340858

Title

Owner Dentist

Phone

(360) 424-8884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Todd Thomas Cooley, DDS

  • Dentist
  • Sedro Woolley, WA
  • NPI 1528340858
  NPD (past) Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922173913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 RIVERSIDE DR",
            "address_2": "SUITE 108",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-424-8884",
            "fax_number": "360-424-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 RIVERSIDE DR",
            "address_2": "SUITE 108",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-424-8884",
            "fax_number": "360-424-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD T COOLEY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "360-424-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5048459",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Kenneth Thompson, CRNA
• Jane Elizabeth Thornton, LH 613075778
• Thrifty Payless Inc
• Amy Tierra, ARNP, NP-C, PMHNP-BC
• Timothy J. Marker, D.D.S., P.C.
• William W Todd, CPC
• Ryan David Toering, PA-C
• Dawnell Tokarchuk, PTA
• Nathan Tolley, DO
• Marsha Janette Tomlinson, M.D.

• General Practice Dentistry in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.