DR. CHARLES H COOLEY (NPI# 1508846288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508846288 |
| Entity Type | Individual |
| Full Name | DR. CHARLES H COOLEY |
| Credential | DDS MS |
| Practice Address |
3000 Eureka Way Redding CA 96001-0184 |
| Practice Telephone | 5302411332 |
| Practice Fax Number | 5302414563 |
| Mailing Telephone | 5302411332 |
| Mailing Fax Number | 5302414563 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
35703 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245486539 | Charles Cooley | Orthopaedic Surgery | 882 River Ln, Anoka, MN 55303-2878 | 2008-08-18 |
| 1093920761 | Charles A Cooley | Dentist | 601 Turtle Creek Dr, Tyler, TX 75701-1832 | 2007-05-14 |
| 1548219330 | Charles R Cooley | Family Medicine | 720 Transit Ave, Suite 101, Canton, GA 30114-2571 | 2006-05-09 |
| 1508855255 | Charles P. Cooley | Nurse Practitioner | 807 University Parkway, Roy S Nicks Hall, Room 160, Johnson City, TN 37614-7113 | 2005-10-17 |
| 1063037315 | Charles Robert Cooley | Dentist | 2630 S Eagle Rd, Meridian, ID 83642-6704 | 2020-06-12 |
| 1861668949 | Charles Randall Cooley | Anesthesiology | 1711 W Temple St, Los Angeles, CA 90026-5421 | 2008-05-07 |
| 1588872105 | Charles Cooley | Psychologist | 8440 W Lake Mead Blvd, Suite 206, Las Vegas, NV 89128-7648 | 2007-05-18 |
| Street Address |
3000 EUREKA WAY |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393744 | Craig Emerson Fowers | Dentist | 3000 Eureka Way, Redding, CA 96001-0184 | 2005-11-17 |
| 1518352293 | Cameron Lamb | Dentist | 3000 Eureka Way, Redding, CA 96001-0178 | 2015-03-31 |
| 1316159973 | Craig E. Fowers,dds,apc | Dentist | 3000 Eureka Way, 3000 Eureka Way, Redding, CA 96001-0184 | 2007-05-04 |
| 1528101391 | Daniel R Huang | Dentist | 3000 Eureka Way, Redding, CA 96001-0184 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245378249 | Robert C Shoff | Dentist | 340 Hartnell Avenue, Suite C, Redding, CA 96002 | 2007-02-02 |
| 1659327336 | Karen Marie Mccarthy | Dentist | 68 Hartnell Ave, Redding, CA 96002-1840 | 2006-05-25 |
| 1518352293 | Cameron Lamb | Dentist | 3000 Eureka Way, Redding, CA 96001-0178 | 2015-03-31 |
| 1952638298 | Gregory Edwin Yim | Dentist | 3550 Eureka Way, Suite 1, Redding, CA 96001 | 2009-11-06 |
| 1184788622 | Richard Scott Schalo | Dentist | 2315 Bechelli Ln, Suite E, Redding, CA 96002-0119 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.