KRISTOPHER COOPER DMD, MD
NPI 1265814784
Dentist - Oral and Maxillofacial Surgery in Portland, ME
About Kristopher Cooper Dmd, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTOPHER COOPER DMD, MD (NPI 1265814784) is an individual oral and maxillofacial surgery provider in Portland, Maine, licensed in Maine (DEN4712) and active in the NPI registry since June 2015. He has opted out of Medicare through May 17, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kristopher Cooper Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 17, 2023 through May 17, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristopher Cooper's NPI number?
The NPI number for Kristopher Cooper is 1265814784. It was assigned to this individual provider in the NPPES registry on June 20, 2015.
Where is Kristopher Cooper located?
Kristopher Cooper practices at 1 College St, Portland, ME 04103. The listed phone number is (207) 283-0171.
What is Kristopher Cooper's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Kristopher Cooper enrolled in Medicare?
No. Kristopher Cooper has opted out of Medicare through May 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Kristopher Cooper accept?
Health plans from Anthem Blue Cross and Blue Shield list Kristopher Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kristopher Cooper was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kristopher Cooper, DMD, MD · NPI 1265814784
Oral and Maxillofacial Surgery provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since June 20, 2015.
## Identity
- **NPI:** 1265814784 (Entity type: Individual)
- **Enumerated:** June 20, 2015
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DEN4712 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 COLLEGE ST, Portland, ME 04103-2617
- **Phone:** (207) 283-0171
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 17, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** September 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265814784) · Data from the CMS NPPES public registry.