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DR. JONAH THOMAS COOPER-LEAVITT D.M.D.
NPI 1245412162
Dentist - General Practice in Monmouth, OR

Active since December 03, 2007PECOS Enrolled
512 MAIN ST E, SUITE 100, MONMOUTH, OR 97361(503) 837-0512 Get Directions Write a Review

NPPES record last updated: May 12, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jonah Thomas Cooper-leavitt D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONAH THOMAS COOPER-LEAVITT D.M.D. (NPI 1245412162) is an individual general practice provider in Monmouth, Oregon, licensed in Oregon (D8326) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245412162
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONAH THOMAS COOPER-LEAVITTCredential: D.M.D.
Location Address512 MAIN ST E, SUITE 100Monmouth, OR 97361-2369
Mailing Address512 Main St E, Suite 100Monmouth, OR 97361-2369 · (503) 837-0512
Phone(503) 837-0512
Sole ProprietorYes
Enumeration DateDecember 3, 2007
Last NPPES UpdateMay 12, 2010
✔ NPI 1245412162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D8326
Definition
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.
512 MAIN ST E, Monmouth, OR 97361
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonah Thomas Cooper-leavitt D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA MARIE MATHISEN PA-C
Physician Assistant
512 MAIN ST E
MONMOUTH, OR 97361
Polk County (503) 838-1182
DR. BENJAMIN GORDON COULAM DNP
Nurse Practitioner (Family)
512 MAIN ST E
MONMOUTH, OR 97361
Polk County (503) 838-1182
JOCELYNE BLANCO
Physician Assistant
512 MAIN ST E
MONMOUTH, OR 97361
Polk County (503) 838-1182
PHILLIP EDWIN SEGURA JR.
Physical Therapist
512 MAIN ST E
MONMOUTH, OR 97361
Polk County (503) 838-1388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonah Cooper-leavitt's NPI number?

The NPI number for Jonah Cooper-leavitt is 1245412162. It was assigned to this individual provider in the NPPES registry on December 3, 2007.

Where is Jonah Cooper-leavitt located?

Jonah Cooper-leavitt practices at 512 Main St E Suite 100, Monmouth, OR 97361. The listed phone number is (503) 837-0512.

What is Jonah Cooper-leavitt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonah Cooper-leavitt enrolled in Medicare?

Yes. Jonah Cooper-leavitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonah Cooper-leavitt was last updated on May 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.