COOPER ORAL & MAXILLOFACIAL SURGERY, PC NPI 1770606014

Dentist (Oral and Maxillofacial Surgery) in Nashville, TN

NPI 1770606014 Organization Dentist Oral and Maxillofacial Surgery

NPI Profile for COOPER ORAL & MAXILLOFACIAL SURGERY, PC

Cooper Oral & Maxillofacial Surgery, Pc is a provider established in Nashville, Tennessee specializing in dentist (oral and maxillofacial surgery) . The NPI number of Cooper Oral & Maxillofacial Surgery, Pc is 1770606014 and was assigned on April 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 3032 (TN). The provider is registered as an organization and their NPI record was last updated 12 years ago. Cooper Oral & Maxillofacial Surgery, Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lindsey W. Cooper Sr. Dmd (Owner/president)

A dentist like Cooper Oral & Maxillofacial Surgery, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1770606014

Provider NameCOOPER ORAL & MAXILLOFACIAL SURGERY, PC
Provider Location Address207 TWENTY THIRD AVENUE NORTH NASHVILLE, TN 37203
Provider Mailing Address207 TWENTY THIRD AVENUE NORTH NASHVILLE, TN 37203
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-10-2007
Last Update Date10-13-2010


Primary Taxonomy

Taxonomy Code1223S0112X
ClassificationDentist
TypeDental Providers
SpecializationOral and Maxillofacial Surgery
License No.3032
License StateTN
Taxonomy DescriptionThe specialty of dentistry which includes 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.

Business Address

COOPER ORAL & MAXILLOFACIAL SURGERY, PC
207 TWENTY THIRD AVENUE NORTH
NASHVILLE, TN
ZIP 37203
Phone: (615) 320-1392
Fax: (615) 329-4245

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Mailing Address

COOPER ORAL & MAXILLOFACIAL SURGERY, PC
207 TWENTY THIRD AVENUE NORTH
NASHVILLE, TN
ZIP 37203
Phone: (615) 320-1392
Fax: (615) 329-4245



Authorized Official

Authorized Official Name LINDSEY W. COOPER SR. DMD
Authorized Official TitleOWNER/PRESIDENT
Authorized Official Phone(615) 320-1392

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
11223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryDS3032TNNo

Taxonomy Description: the specialty of dentistry which includes 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.

21223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryDS7219TNNo

Taxonomy Description: the specialty of dentistry which includes 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.

31223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryDS4607TNNo

Taxonomy Description: the specialty of dentistry which includes 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3141185OTHER (01)TNBCBST SPENCER A HALEY
3223871MEDICARE PIN (08)TN
2009819OTHER (01)TNBCBST LINDSEY W COOPER
U74960MEDICARE UPIN (02)TN
3223870MEDICARE ID-TYPE UNSPECIFIED (04)TNLINDSEY W COOPER
3226410MEDICARE ID-TYPE UNSPECIFIED (04)TNCOOPER & PROVENCE, PC
2006315OTHER (01)TNBCBST TIMOTHY D PROVENCE
T74297MEDICARE UPIN (02)TN
3226483MEDICARE ID-TYPE UNSPECIFIED (04)TNTIMOTHY D PROVENCE
3226504MEDICARE ID-TYPE UNSPECIFIED (04)TNSPENCER A HALEY

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770606014
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401201202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 2 + 0 + 1 + 2 + 0 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1770606014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Cooper Oral & Maxillofacial Surgery, Pc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.