JACK D COOPER (NPI# 1891240495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891240495 |
| Entity Type | Organization |
| Organization Name | JACK D COOPER |
| Practice Address |
705 N 17th Ave Ashland NE 68003-1209 |
| Practice Telephone | 4029443305 |
| Practice Fax Number | 4029447611 |
| Mailing Telephone | 4029443305 |
| Mailing Fax Number | 4029447611 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | KAYLA C KOBS (OFFICE MANAGER) |
| Authorized Official Telephone | 4029443305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4005 | NE | Dental Providers |
| Street Address |
705 N 17TH AVE |
| City | ASHLAND |
| State | NE |
| Zip Code | 68003-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174617450 | Jack Dean Cooper | Dentist | 705 N 17th Ave, Ashland, NE 68003 | 2006-10-03 |
| 1477066421 | Real Life Health, LLC | Clinic/Center | 705 N 17th Ave, Ashland, NE 68003-1209 | 2017-11-13 |
| 1568595007 | John E Bateman O D P C | Optometrist | 705 N 17th Ave, Ashland, NE 68003-1209 | 2007-03-13 |
| 1235273590 | Lincoln Family Medical Group PC | Psychologist | 705 N 17th Ave, Ashland, NE 68003-1209 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376925826 | Julie Wischmann | Specialist/Technologist, Other | 773 County Rd 6, Ashland, NE 68003 | 2015-06-22 |
| 1629000427 | Dean Stewart Warnke | Counselor | 22001 North Broadwell, Grand Island, NE 68003 | 2006-07-06 |
| 1477766939 | Michelle Lynn Bargen | Dentist | 2821 Furnas St, Ashland, NE 68003-1010 | 2007-05-08 |
| 1801122874 | Sarah Dawn Marie Rainey | Physical Therapist | 2517 Kendel Dr, Ashland, NE 68003-1024 | 2009-10-27 |
| 1760009781 | Invigorating Motion Physical Therapy | Physical Therapist | 2517 Kendel Dr, Ashland, NE 68003-1024 | 2020-06-26 |
| 1326341231 | Delores Jean Shaffer | Licensed Practical Nurse | 150 South 31st Street, Ashland, NE 68003-1048 | 2010-12-15 |
| 1649636770 | Kristina Lyn Smith | Nurse Practitioner | 163 County Road 7, Ashland, NE 68003-1173 | 2016-01-05 |
| 1386885192 | Vest Psychiatric Services, LLC | Clinic/Center | 1829 Euclid St, Ashland, NE 68003-1214 | 2009-03-09 |
| 1114311859 | Kyle E Willard | Specialist/Technologist | 1941 Euclid St, Ashland, NE 68003-1216 | 2015-03-19 |
| 1326547159 | Ashley Chvatal | Registered Nurse | 1842 Furnas St, Ashland, NE 68003-1219 | 2018-02-07 |
| Find all providers in zip 68003 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517339 | Third Street Community Clinic, Inc. | Dentist | 431 E 9th St, Ashland, OH 44805-1903 | 2020-01-23 |
| 1558991778 | Ashland Elite Dental Pllc | Dentist | 171 Main St Ste 100, Ashland, MA 01721-1190 | 2020-01-16 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1760936231 | Smf1 Pllc | Dentist | 39 Pond St, Ashland, MA 01721-2054 | 2016-08-12 |
| 1871933853 | Robert Keith Bundy | Dentist | 155 N 24th St, Ashland, NE 68003-1504 | 2013-07-05 |
| 1821361940 | Charles E. Montague,iii,d.m.d.,p.s.c. | Dentist | 1330 Central Ave, Ashland, KY 41101-7550 | 2012-02-21 |
| 1538399829 | John C. Smith Jr. | Dentist | 116 N Railroad Ave, Ashland, VA 23005-1524 | 2009-07-21 |
| 1467602698 | Armond Enos Jr | Dentist | 300 Eliot Street, Ashland, MA 01721 | 2008-09-24 |
| 1124281092 | Jared R Anderson | Dentist | 325 A Street, Suite 2, Ashland, OR 97520 | 2008-07-09 |
| 1013186998 | Thomas Maxwell Haley | Dentist | 214 England St, Ashland, VA 23005-2075 | 2008-02-26 |
| Find all providers in ASHLAND | ||||
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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.