DEVON COOPER (NPI# 1376032557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376032557 |
| Entity Type | Individual |
| Full Name | DEVON COOPER |
| Practice Address |
5495 N Bend Rd Ste 102 Burlington KY 41005-9378 |
| Mailing Address |
1560 3rd St Apt 903 San Francisco CA 94158-2314 |
| Practice Telephone | 8595345460 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10073 | KY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 Thomas More Pkwy, Crestview Hills, KY 410173424 | 8593413012 |
| Street Address |
5495 N BEND RD STE 102 |
| City | BURLINGTON |
| State | KY |
| Zip Code | 41005-9378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225585573 | Kathleen Marie Ferrara | Nurse Practitioner | Walgreens Healthcare Clinic, 1747 Patrick Drive, Burlington, KY 41005 | 2016-09-03 |
| 1356562888 | Joanna Hopper | Developmental Therapist | 3027 Tomahawk Ridge Way, Burlington, KY 41005 | 2007-05-01 |
| 1902951395 | Stacie Bollin | Case Manager/Care Coordinator | 6964 Lucia Drive, Burlington, KY 41005 | 2007-01-24 |
| 1417019068 | Ellen C Torbeck | Dentist | 2618 Burlington Pike, Burlington, KY 41005 | 2006-12-13 |
| 1982704656 | Charity Anne Barth Omosivwe | Dentist | 1821 Florence Pike Ste 2, Burlington, KY 41005 | 2006-09-23 |
| 1114967916 | Total Nutrition Therapy LLC | Dietitian, Registered | 7407 Indian Ridge Way, Burlington, KY 41005 | 2006-06-08 |
| 1235137134 | Burlington Fire Protection District | Ambulance | 6050 Firehouse Dr., Burlington, KY 41005 | 2005-07-13 |
| 1235523879 | Amanda Jo Frazier | Nurse Practitioner | 6159 1st Financial Dr, Burlington, KY 41005 | 2015-03-20 |
| 1164708327 | Total Access Physicians, P.s.c. | Family Medicine | 1838 Florence Pike, Burlington, KY 41005 | 2011-11-01 |
| 1780805341 | Elizabeth Clay | Dentist | 1820 Florence Pike, Burlington, KY 41005 | 2007-05-01 |
| Find all providers in zip 41005 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194112599 | Jennifer Durham Crisp | Dentist | 3154 S Church St, Burlington, NC 27215-9114 | 2015-04-23 |
| 1952598310 | Tucker & Allen-johnson Dds Pa | Dentist | 2975 Crouse Lane, Burlington, NC 27215-8833 | 2007-10-01 |
| 1386784585 | Roslyn Moore Crisp | Dentist | 1203 Vaughn Rd, Burlington, NC 27217-2846 | 2007-02-07 |
| 1669573010 | Michael Todd Grooms | Dentist | 306 Alamance Rd Ste C, Burlington, NC 27215-5684 | 2006-09-26 |
| 1477563682 | Morteza A Yazdi | Dentist | 131 Cambridge St Ste 1, Burlington, MA 01803-3711 | 2006-08-09 |
| 1386921526 | Pediatric Dental Center | Dentist | 5495 N Bend Rd, Suite 102, Burlington, KY 41005-9378 | 2011-11-15 |
| 1538331350 | Dr Roslyn M. Crisp | Dentist | 1203 Vaughn Rd, Burlington, NC 27217-2846 | 2008-04-01 |
| 1689852477 | Alamance Pediatric Dentistry | Dentist | 306 Alamance Rd, Ste C, Burlington, NC 27215-5684 | 2008-02-05 |
| 1669687166 | Burlington Childrens Dental | Dentist | 131 Cambridge St Ste 1, Burlington, MA 01803-3711 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599802 | Derby City Pediatric Dentistry, Pllc | Dentist | 2120 High Wickham Pl Ste 103, Louisville, KY 40245-5903 | 2020-02-05 |
| 1588204655 | Kids Dentistree of Ky LLC | Dentist | 8727 Old Bardstown Rd, Louisville, KY 40291-4490 | 2020-01-07 |
| 1033775374 | Alex Mayes Young Dmd Pllc | Dentist | 7400 Us 42, Florence, KY 41042-1906 | 2019-05-13 |
| 1285299149 | Modern Kids Dentistry of Elizabethtown, Pllc | Dentist | 151 Drexler Cir # A, Elizabethtown, KY 42701-7843 | 2019-05-07 |
| 1780141580 | Morgan Marie Nowery | Dentist | 134 Gillette Ave, Louisville, KY 40214-1914 | 2019-02-27 |
| 1578030995 | Huda Hussain Alkuhl | Dentist | 501 S Preston St Fl 3, Louisville, KY 40202-1701 | 2018-10-24 |
| 1073099792 | Lake Cumberland Pediatric Dentistry | Dentist | 100 Hardin Ln Ste A, Somerset, KY 42503-3812 | 2018-07-16 |
| 1609363795 | Alexandria Gene Maxson | Dentist | 1275 Hallwood Dr, Morehead, KY 40351-7370 | 2018-04-16 |
| 1831606094 | Djr2 Professional Limited Liability Company | Dentist | 303 S 4th St Ste 201, Danville, KY 40422-2091 | 2018-01-09 |
| 1083144265 | Kelly Wessel | Dentist | 4413 Santa Paula Ln, Louisville, KY 40219-3820 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 41005 |
Please comment or provide details below to improve the information on DEVON COOPER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.