KELLY COOPER


Address: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800
Phone: 2106523301

KELLY COOPER (NPI# 1386191252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386191252
Entity Type Individual
Full Name KELLY COOPER
Credential D.D.S.
Practice Address 221 3rd St W Bldg 1040
Jbsa Randolph
TX 78150-4800
Practice Telephone 2106523301
Enumeration Date 2016-09-07
Last Update Date 2020-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
32365 TX Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
151 Bodin Cir, Travis Afb, CA 945351801 7074237008
224 W D.l. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103 5757844041

Other Providers KELLY COOPER

NPI Name Taxonomy Address Enumeration
1396133641 Kelly Cooper Physical Therapy Assistant 3200 North Elm Street, Greensboro, NC 27408 2015-01-08
1881992741 Kelly Frances Cooper Massage Therapist 3324 W University Ave # 344, Gainesville, FL 32607-2540 2011-03-02
1265763098 Kelly Marie Cooper Massage Therapist 25 Quail Hollow Rd, Fairview, NC 28730-8505 2010-01-19
1124628300 Kelly M Cooper Optometrist 210 Marlboro Ave Ste 31, Easton, MD 21601-2767 2020-10-28
1255979787 Kelly Cooper Speech-Language Pathologist 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2019-12-16
1851945943 Kelly Cooper Counselor 506 Grover St Ste 112, Lynden, WA 98264-1960 2019-07-28
1871063792 Kelly Cooper Counselor 1455 Dixon Ave, Lafayette, CO 80026-8879 2018-12-04
1114411915 Kelly Anne Cooper Counselor 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 2018-06-15
1316468820 Kelly Ann Cooper Nurse Practitioner 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 2017-07-06
1174945141 Kelly A Cooper Case Manager/Care Coordinator 200 E Frazier Ave, Columbia, KY 42728-1915 2014-01-10

Office Location

Street Address 221 3RD ST W BLDG 1040
City JBSA RANDOLPH
State TX
Zip Code 78150-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427042183 Karen Ann Ryan-philpott Pediatrics 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2005-09-08
1235695412 Alexandra Schulte General Practice 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2019-02-13
1225525926 Kristyn Brooke Loggins Pharmacist 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2018-04-18
1053831149 Angelique Stacey Ann Forrester Family Medicine 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2017-06-21
1770014383 Daniel Stephen Catts Pediatrics 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2017-03-24
1972974061 Jeffery Rueben Physician Assistant 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2015-10-14
1053787259 Leanne Putnam Nurse Practitioner 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2015-08-11
1780066035 Karla Renise Ivy Family Medicine 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2015-06-23
1427437151 Jacqueline Gutierrez Student in an Organized Health Care Education/Training Program 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2015-05-27
1699153486 Andrew Grove Dentist 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2015-05-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770045833 Erica Renae Guevara Physician Assistant 559 Medial Sq, 221 Third Street West Bldg. 1040, Jbsa-randolph Afb, TX 78150 2019-04-05
1457803868 Emily Newman Dietitian, Registered 221 Third Street West, Bldg. 999 Ste 2, Joint Base San Antonio -randolph, TX 78150 2016-11-02
1922411677 Amber Drewer Military Health Care Provider 3rd Street West Building 1040, Randolph Afb, TX 78150 2014-06-10
1144652975 Josephine Kimberly Olsen Family Medicine 359 Mdos/mdg, Randolph Afb, TX 78150 2013-08-02
1609149681 Lucky Lusterio Preventive Medicine 221 3rd St. W, Randolph Afb, TX 78150 2012-02-21
1417120569 Joni Hodgson General Practice 221 3rd Street West, Jbsa Randolph, TX 78150 2008-04-09
1710095724 Katherine Justen Adamson Physician Assistant 12th Medical Group, 221 3rd Street West, Randolph Air Force Base, TX 78150 2006-08-29
1811950090 Lidia Stana Ilcus Internal Medicine 359 Mdg, 221 Third Street West, Randolph Afb, TX 78150 2006-04-10
1013970672 David Hamilton Social Worker 12mdos/sgohf, Randolph Afb, TX 78150 2006-04-06
1962465526 Robert Allan Briggs Physical Therapist Randolph Afb Clinic, 221 3rd St W, Randolph Afb, TX 78150 2006-04-06
Find all providers in zip 78150

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699153486 Andrew Grove Dentist 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 2015-05-12
1780920819 Rachael L Parrish Dentist 221 3rd St W, Jbsa Randolph, TX 78150 2012-12-18
1417926452 Federico Capnay Aquino Jr. Dentist 221 3rd St W, Jbsa Randolph, TX 78150-4801 2006-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306447537 Azle Cube Smiles Pllc Dentist 100 Park Plc Ste 224, Azle, TX 76020 2020-11-04
1548860257 Emeka Abazie Dds Pa Dentist 1001 N. Beckley, Suite 304, Desoto, TX 75115 2020-10-30
1699375543 Long Family Dental Dentist 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 2020-10-29
1548860992 Vequinox Pllc Dentist 2605 N Shary Rd, Mission, TX 78574-3221 2020-10-27
1952900466 Gwendolyn Kines-mcleod Dds,pllc Dentist 401 N Ann St Ste B, Terrell, TX 75160-2549 2020-10-26
1609476183 Texas Saas Pa Dentist 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 2020-10-26
1295334803 Jpm Dental of Spring Dentist 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 2020-10-23
1750980025 Neda Hani Tabaei Zavareh Dentist 10900 Twisted Elm Dr, Austin, TX 78726-2369 2020-10-19
1710586029 Whitestone Dental Center Pllc Dentist 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 2020-10-19
1841899226 Calvin Eastwood Dds Pllc Dentist 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 2020-10-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City JBSA RANDOLPH
Zip Code 78150

Improve Information

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Dataset Information

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.

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