COLUMBIA BASIN ORAL & MAXILLOFACIAL SURGEONS
NPI 1487728614
Dentist - Oral and Maxillofacial Surgery in Kennewick, WA

Active since November 20, 2006
512 N YOUNG ST, KENNEWICK, WA 99336(509) 783-7600(509) 783-0774 Get Directions Write a Review

NPPES record last updated: June 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Columbia Basin Oral & Maxillofacial Surgeons NPPES

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

COLUMBIA BASIN ORAL & MAXILLOFACIAL SURGEONS (NPI 1487728614) is a healthcare organization registered as an oral and maxillofacial surgery in Kennewick, Washington and active in the NPI registry since November 2006. The organization lists Todd C Cooper, Partner, as its authorized official.

NPPES Registry Identity

NPI1487728614
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTODD COOPER, DDS, TYSON TEEPLES, DMD, MD, RYAN TOPONCE, DMD, PS.
Location Address512 N YOUNG STKennewick, WA 99336-7806
Mailing Address512 N Young StKennewick, WA 99336-7806 · (509) 783-7600 · Fax (509) 783-0774
Fax(509) 783-0774
Organization SubpartNo
Authorized OfficialTodd C CooperPartner · (509) 783-7600
Enumeration DateNovember 20, 2006
Last NPPES UpdateJune 21, 2017
✔ NPI 1487728614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · 6293
Definition
An oral and maxillofacial surgery dentist specialized in 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.
512 N YOUNG ST, Kennewick, WA 99336

Other Names 2

Other NameColumbia Basin Oral & Maxillofacial Surgeons
Other NameColumbia Basin Oral And Maxillofacial Surgeons

Other Identifiers 11

Medicare UPINU95496WA
Medicare ID-Type Unspecified319200901WA · Dr Ron Marsh
Medicaid5017652WA
Medicaid5017660WA
Medicare UPINU32796WA
Medicare ID-Type Unspecified319200900WA · Medicare Group Number
Medicaid5042361WA
Medicare ID-Type UnspecifiedAB37487WA · Dr Todd Cooper
Medicare ID-Type Unspecified319200902WA · Dr Jon Crawford
Medicaid5014337WA
Medicare UPINU50124WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Columbia Basin Oral & Maxillofacial Surgeons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Columbia Basin Oral & Maxillofacial Surgeons, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maxillofacial Surgery
NPI 1134147309
512 N YOUNG ST
Kennewick, WA 99336
(509) 783-7600
✔ PECOS0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps.'s NPI number?

The NPI number for Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps. is 1487728614. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is also known as Columbia Basin Oral & Maxillofacial Surgeons and Columbia Basin Oral and Maxillofacial Surgeons.

Where is Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps. located?

Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps. is located at 512 N Young St, Kennewick, WA 99336. The listed phone number is (509) 783-7600.

What is Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps. enrolled in Medicare?

Yes. Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Todd Cooper, Dds, Tyson Teeples, Dmd, MD, Ryan Toponce, Dmd, Ps. was last updated on June 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.