Christopher Cooper, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7659 Issued in NE

Practice address

7302 Giles Rd Ste 1
La Vista, NE 68128-5902

Phone

(402) 218-4220

Fax

(402) 218-4290

NPI assigned

Jun 1, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pearl Dentistry Omaha, LLC

  • Dental Clinic/Center
  • La Vista, NE
  • NPI 1710601422
  NPD Authorized official

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1952925430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 GILES RD STE 1",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285902",
            "telephone_number": "402-218-4220",
            "fax_number": "402-218-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7302 GILES RD STE 1",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285902",
            "telephone_number": "402-218-4220",
            "fax_number": "402-218-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Woodbury Ave",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515037915",
            "country_code": "US",
            "telephone_number": "712-201-8891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7659",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Collins, PHARMD
• Compassionate Care Hospice, LLC
• Complete Rehab & Wellness Center LLC
• Alizayah Contreras
• Gayle Cook
• Roxana Cordero
• Michael Lindsay Cordwin, RP
• Anthony Cortijo Roman
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Dentist in La Vista, NE
• Providers in La Vista, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.