MICHAEL D COOPER DDS DENTAL CORPORATION (NPI# 1861906174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861906174 |
| Entity Type | Organization |
| Organization Name | MICHAEL D COOPER DDS DENTAL CORPORATION |
| Practice Address |
4980 Barranca Pkwy Ste 206 Irvine CA 92604-8655 |
| Practice Telephone | 9493793245 |
| Mailing Telephone | 9493793245 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |
| Authorized Official Name | MICHAEL D COOPER (OWNER) |
| Authorized Official Telephone | 9493793245 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
34946 | CA | Dental Providers |
| Street Address |
4980 BARRANCA PKWY STE 206 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-8655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023245099 | Daniel L Pedersen | Dentist | 4980 Barranca Pkwy Ste 206, Irvine, CA 92604-8655 | 2009-06-17 |
| 1427286061 | Pedersen Professional Dental | Dentist | 4980 Barranca Pkwy Ste 206, Irvine, CA 92604-8655 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104338748 | Nimesh N Patel Dds Inc | Dentist | 33 Creek Rd Ste B, Irvine, CA 92604-4791 | 2017-11-03 |
| 1396285284 | J.a. Straw, D.d.s., Inc. | Dentist | 16300 Sand Canyon Ave Ste 711, Irvine, CA 92618-3707 | 2017-02-27 |
| 1588001218 | Ali Amrollahie | Dentist | 60 Orange Blossom, Irvine, CA 92618-4412 | 2013-06-04 |
| 1568715753 | Vivian Jui, D.m.d., Inc. | Dentist | 16300 Sand Canyon Ave Ste 701, Irvine, CA 92618-3707 | 2012-10-25 |
| 1700044237 | Tony Yang | Dentist | 113 Waterworks Way, #110, Irvine, CA 92618-3167 | 2008-05-30 |
| 1386822971 | Lee Duong Pham | Dentist | 58 Tesoro, Irvine, CA 92618-0103 | 2008-02-05 |
| 1891828687 | Eric Kim | Dentist | 15785 Laguna Canyon Rd Ste 110, Irvine, CA 92618-3166 | 2007-03-13 |
| 1427064963 | Paul B Anderson | Dentist | 720 Turtle Crest Dr, Irvine, CA 92603-1014 | 2006-08-01 |
| 1497171953 | Ali Karimi Dds Medical Corporation | Dentist | 113 Waterworks Way Ste 355, Irvine, CA 92618-3172 | 2014-03-07 |
| 1447688551 | David R. Telles, D.d.s., A Professional Corporation | Dentist | 1920 Main St, Suite # 165, Irvine, CA 92614-7209 | 2013-10-29 |
| Find all providers in IRVINE | ||||
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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.