Individual provider Active NPI

Ryan Cooper, DDS

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1972031474
Registry record updated May 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00203166 Issued in CO
Practice address
7761 Shaffer Pkwy Ste 250
Littleton, CO 80127-3730
Phone
(303) 933-2522
NPI assigned
May 27, 2017
Last updated
May 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 00203166 CO Primary

Addresses

Primary practice location

7761 Shaffer Pkwy Ste 250
Littleton, CO 80127-3730

Mailing address

7956 S Eudora Cir
Centennial, CO 80122-3843
Phone (720) 289-1196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20171207002288 CO Order and Referring Only - DentistPractitioner - Dentist 0648537159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00203166COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1495843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495843200000",
    "number": "1972031474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 S EUDORA CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223843",
            "telephone_number": "720-289-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7761 SHAFFER PKWY STE 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273730",
            "telephone_number": "303-933-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-27",
        "last_updated": "2017-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00203166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.