TODD C COOPER DDS
NPI 1871523183
Oral & Maxillofacial Surgery in Kennewick, WA

Active since July 03, 2006Opted out of Medicare · through Mar 28, 2028
512 N YOUNG ST, KENNEWICK, WA 99336(509) 783-7600(509) 783-0774 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Todd C Cooper Dds NPPES

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

TODD C COOPER DDS (NPI 1871523183) is an individual oral & maxillofacial surgery provider in Kennewick, Washington, licensed in Washington (9520) and active in the NPI registry since July 2006. He has opted out of Medicare through March 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871523183
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameTODD C COOPERCredential: DDS
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
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateNovember 25, 2014
NPI 1871523183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses Licensed in WA · 9520 Licensed in OR · D9191
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 9520 (WA), D9191 (OR)
512 N YOUNG ST, Kennewick, WA 99336

Other Identifiers 3

Medicare UPINU95496WA
Medicare ID-Type UnspecifiedAB37487WA
Medicaid5042361WA

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

Todd C Cooper Dds 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 March 28, 2018 through March 28, 2028.

Opt-Out Effective DateMarch 28, 2018
Opt-Out In Effect ThroughMarch 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

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

Oral & Maxillofacial Surgery
512 N YOUNG ST
KENNEWICK, WA 99336
Dentist
512 N YOUNG ST
KENNEWICK, WA 99336
Orthopaedic Surgery
512 N YOUNG ST, SUITE C
KENNEWICK, WA 99336
Internal Medicine (Rheumatology)
512 N YOUNG ST, SUITE C
KENNEWICK, WA 99336
Dentist (Oral and Maxillofacial Surgery)
512 N YOUNG ST
KENNEWICK, WA 99336
Dentist (Oral and Maxillofacial Surgery)
512 N YOUNG ST
KENNEWICK, WA 99336
Oral & Maxillofacial Surgery
512 N YOUNG ST
KENNEWICK, WA 99336
Dentist (Oral and Maxillofacial Surgery)
512 N YOUNG ST
KENNEWICK, WA 99336

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's NPI number?

The NPI number for Todd Cooper is 1871523183. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Todd Cooper located?

Todd Cooper practices at 512 N Young St, Kennewick, WA 99336. The listed phone number is (509) 783-7600.

What is Todd Cooper's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Todd Cooper enrolled in Medicare?

No. Todd Cooper has opted out of Medicare through March 28, 2028. 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 Todd Cooper accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Todd 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 Todd Cooper was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.