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DR. GEORGE ROBERT COOPER IV DMD
NPI 1659891984
Dentist in Fort Wayne, IN

Active since June 27, 2017PECOS Enrolled
2121 E DUPONT RD, SUITE E, FORT WAYNE, IN 46825(260) 489-1508 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 27, 2017 (2 updates tracked since 2017).

About Dr. George Robert Cooper Iv Dmd NPPES

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

DR. GEORGE ROBERT COOPER IV DMD (NPI 1659891984) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12012761A) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659891984
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GEORGE ROBERT COOPER IVCredential: DMD
Location Address2121 E DUPONT RD, SUITE EFort Wayne, IN 46825
Mailing Address2121 E Dupont Rd Ste EFort Wayne, IN 46825-1546 · (260) 489-1508
Phone(260) 489-1508
Sole ProprietorNo
Enumeration DateJune 27, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1659891984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12012761A
Definition
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.
2121 E DUPONT RD, Fort Wayne, IN 46825
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Indiana.Insurance ›

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. George Robert Cooper Iv Dmd 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 46825 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

DR. ALLISON BERGDOLL DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2121 E DUPONT RD, SUITE D
FORT WAYNE, IN 46825
Allen County (260) 490-3554
PHILIP C ROACH D.D.S.
Dentist (General Practice)
2121 E DUPONT RD, SUITE B
FORT WAYNE, IN 46825
Allen County (260) 489-1818
FORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC
Dentist (Oral and Maxillofacial Surgery)
2121 E DUPONT RD, SUITE #C
FORT WAYNE, IN 46825
Allen County (260) 490-2013
DR. MULOKOZI K LUGAKINGIRA DMD, DDS, MS.
Dentist (General Practice)
2121 E DUPONT RD, C
FORT WAYNE, IN 46825
Allen County (260) 490-2013

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 George Cooper's NPI number?

The NPI number for George Cooper is 1659891984. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is George Cooper located?

George Cooper practices at 2121 E Dupont Rd Suite E, Fort Wayne, IN 46825. The listed phone number is (260) 489-1508.

What is George Cooper's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is George Cooper enrolled in Medicare?

Yes. George Cooper is registered in the Medicare PECOS enrollment system.

What insurance does George Cooper accept?

Health plans from Delta Dental of Indiana list George 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 George Cooper was last updated on July 21, 2022. 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.