JED M. KOOPS, DMD, LLC (NPI# 1558925487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558925487 |
| Entity Type | Organization |
| Organization Name | JED M. KOOPS, DMD, LLC |
| Practice Address |
3690 Orange Pl Ste 515 Beachwood OH 44122-4466 |
| Mailing Address |
3028 Woodbury Rd Shaker Heights OH 44120-2441 |
| Practice Telephone | 2164642448 |
| Mailing Telephone | 4409417824 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | DR. JED MICHAEL KOOPS (PRESIDENT) |
| Authorized Official Telephone | 4409417824 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
3690 ORANGE PL STE 515 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942440201 | Jerome L. Faist Dds, Inc | Dentist | 3690 Orange Pl Ste 515, Beachwood, OH 44122-4466 | 2009-02-26 |
| 1871941153 | Jed M Koops | Dentist | 3690 Orange Pl Ste 515, Beachwood, OH 44122-4466 | 2016-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710373451 | Colleen C Hickle, Dds, Inc. | Clinic/Center | 3690 Orange Pl Ste 550, Beachwood, OH 44122-4475 | 2015-04-09 |
| 1891333266 | Britni L. Skoda Dmd LLC | Clinic/Center | 23300 Chagrin Blvd Ste G10, Beachwood, OH 44122-5536 | 2019-12-17 |
| 1558801480 | Northeast Ohio Center for Dental Sleep Medicine LLC | Clinic/Center | 22901 Millcreek Blvd, Suite #140, Beachwood, OH 44122-5728 | 2017-02-25 |
| 1144687880 | Chagrin Highlands Dental Group, Douglas E. Desatnik, D.d.s., LLC | Clinic/Center | 22901 Millcreek Blvd, Suite #140, Beachwood, OH 44122-5728 | 2016-01-26 |
| 1700286853 | Elite Dentistry Center LLC | Clinic/Center | 24300 Chagrin Blvd, Suite 304, Beachwood, OH 44122-5639 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789777 | Jennifer A. Lowe-melzak, Dds, LLC | Clinic/Center | 3349 Whitfield Ave Ste 1, Cincinnati, OH 45220-2084 | 2020-10-29 |
| 1073120580 | Sunbury Dental Group Joseph W Papp Dds LLC | Clinic/Center | 450 S Miller Dr Ste 200, Sunbury, OH 43074-9024 | 2020-09-29 |
| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
| 1336752344 | New Day Centerville LLC | Clinic/Center | 8340 Yankee St, Centerville, OH 45458-1808 | 2020-08-28 |
| 1891308029 | Magnolia Grove City LLC | Clinic/Center | 2053 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-27 |
| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1245858083 | Jacko & Siefker Dds, LLC | Clinic/Center | 210 Heritage Dr, Wellington, OH 44090-8949 | 2020-07-08 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JED M. KOOPS, DMD, LLC.
| 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.