DR. KEITH M. COOPER (NPI# 1376809863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376809863 |
| Entity Type | Individual |
| Full Name | DR. KEITH M. COOPER |
| Credential | D.D.S. |
| Practice Address |
5150 Graves Ave Ste 12e San Jose CA 95129-5013 |
| Practice Telephone | 4082534150 |
| Practice Fax Number | 4082531979 |
| Mailing Telephone | 4082534150 |
| Mailing Fax Number | 4082531979 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
39778 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FED TX ID | 770434153 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730588484 | Keith Cooper | Physical Therapist | 900 Cummings Ctr Ste 130s, Beverly, MA 01915-6183 | 2014-08-19 |
| 1447366885 | Keith D Cooper | Dentist | 12 S Jackson St, Perryville, MO 63775-2515 | 2006-08-21 |
| 1245746734 | Keith Andre Cooper | Assistant Behavior Analyst | 2185 Falling Star Loop, Reno, NV 89523-6884 | 2017-12-19 |
| 1477505063 | Keith Eugene Cooper | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2006-05-16 |
| 1295732816 | Keith Cooper | Family Medicine | 4202 S University Ave, Little Rock, AR 72204-7841 | 2005-06-29 |
| Street Address |
5150 GRAVES AVE STE 12E |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174582837 | Charles Peter Milani | Dentist | 5150 Graves Ave, Suite 9a, San Jose, CA 95129 | 2006-03-21 |
| 1881137438 | Gauri A. Bhagwat,dds,inc | Clinic/Center | 5150 Graves Ave, Suite 11-g, San Jose, CA 95129-5013 | 2016-11-30 |
| 1194180018 | G2j Clinic Inc | Clinic/Center | 5150 Graves Ave, Suite 11b, San Jose, CA 95129-5013 | 2015-12-18 |
| 1295101137 | C-dental X-ray, Inc. | Dental Laboratory | 5150 Graves Ave, Ste. 8d, San Jose, CA 95129-5013 | 2015-08-14 |
| 1700225521 | Mint Jer Chou | Dentist | 5150 Graves Ave, Bldg. #3, San Jose, CA 95129-5013 | 2013-06-14 |
| 1699052779 | Tykeisha Denise Muhusin | Dentist | 5150 Graves Ave, Suite 11e, San Jose, CA 95129-5013 | 2011-11-03 |
| 1780976456 | Family Chiropractic Care Inc. | Chiropractor | 5150 Graves Ave, Building # 7, San Jose, CA 95129-5013 | 2011-05-12 |
| 1205126570 | Richard H Sieve, M. D., A Prof. Corp | Specialist | 5150 Graves Ave, San Jose, CA 95129-5013 | 2011-04-07 |
| 1962729228 | Hongyan Li | Acupuncturist | 5150 Graves Ave, Suite 5a, San Jose, CA 95129-5013 | 2010-04-27 |
| 1346406964 | Valarie Saunders | Dentist | 5150 Graves Ave, Suite 11-g, San Jose, CA 95129 | 2008-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669764346 | Patrick E. Walker | Dentist | 827 Blossom Hill Rd Ste W8, San Jose, CA 95123-2701 | 2011-05-12 |
| 1275851487 | Nick M Nguyen | Dentist | 1645 Willow St Ste 200, San Jose, CA 95125-5112 | 2010-05-12 |
| 1902091424 | Chanh Minh Viet | Dentist | 2360 Mckee Rd., Suite 3, San Jose, CA 95116-1618 | 2007-09-07 |
| 1306989751 | Nicholas Clayton Long | Dentist | 872 The Alameda, San Jose, CA 95126 | 2007-02-15 |
| 1073909115 | Parisa Shahi | Dentist | 1655 The Alameda, San Jose, CA 95126-2203 | 2015-04-15 |
| 1508169301 | Joseph A Sands Jr. | Dentist | 1655 The Alameda, San Jose, CA 95126-2203 | 2010-12-16 |
| 1831414549 | George M. Yellich, Dds, Ms & Joseph A. Sands, Jr., Dds, Dental Corp | Dentist | 1655 The Alameda, San Jose, CA 95126-2203 | 2010-04-06 |
| 1770783904 | Tate Truc Thanh Le Vo | Dentist | 2664 Berryessa Rd Ste 114, San Jose, CA 95132-2906 | 2007-07-25 |
| 1891865192 | Sung-eun Steve Lim | Dentist | 105 N Bascom Ave, Suite 201, San Jose, CA 95128-1811 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
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| 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.