DR. MARK ALLEN COOPER (NPI# 1912926411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912926411 |
| Entity Type | Individual |
| Full Name | DR. MARK ALLEN COOPER |
| Credential | DDS |
| Practice Address |
3560 Old Highway 53 Clearlake CA 95422-9251 |
| Mailing Address |
15525 Rumsey Rd Clearlake CA 95422-9594 |
| Practice Telephone | 7079949414 |
| Practice Fax Number | 7079946328 |
| Mailing Telephone | 7079953252 |
| Mailing Fax Number | 7079952254 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 23996 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225080849 | Mark C Cooper | Family Medicine | 505 Burlington St, Scottsboro, AL 35768-4216 | 2006-05-16 |
| 1861453334 | Mark Abe Cooper | Physician Assistant | 1895 Kingsley Ave., Suite 303, Orange Park, FL 32073 | 2006-03-31 |
| 1497752489 | Mark Cooper | Surgery | 356 24th Ave N, Suite 400, Nashville, TN 37203-1514 | 2005-07-05 |
| 1912434127 | Mark Justin Cooper | Emergency Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2017-05-18 |
| 1518415884 | Mark Cooper | Naturopath | 1420 S 21st St, Colorado Springs, CO 80904-4204 | 2016-09-15 |
| 1588091615 | Mark Cooper | Internal Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2013-10-03 |
| 1164866430 | Mark Gregory Cooper | Internal Medicine | 1111 W 34th St Ste 200, Austin, TX 78705-1916 | 2013-04-17 |
| 1184991796 | Mark Cooper | Clinical Neuropsychologist | 243 N Highway 101, Suite 22, Solana Beach, CA 92075-1180 | 2011-11-28 |
| 1730359449 | Mark Cooper | Dentist | 11 West Ave, Route 94, Chester, NY 10918-3501 | 2008-03-10 |
| 1063611606 | Mark Cooper | Social Worker | 3130 N County Road 25a, Troy, OH 45373-1337 | 2007-07-13 |
| Street Address |
3560 OLD HIGHWAY 53 |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144237264 | Thomas Hewlett | Dentist | 3560 Old Highway 53, Clearlake, CA 95422-9251 | 2006-08-02 |
| 1679589618 | James Kinsel | Dentist | 3560 Old Highway 53, Clearlake, CA 95422-9251 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295845717 | Simon Lee Dental | Dentist | 15130 Lakeshore Dr, Clearlake, CA 95422 | 2006-08-30 |
| 1144237264 | Thomas Hewlett | Dentist | 3560 Old Highway 53, Clearlake, CA 95422-9251 | 2006-08-02 |
| 1679589618 | James Kinsel | Dentist | 3560 Old Highway 53, Clearlake, CA 95422-9251 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| 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.