DR. DAVID FENTON COOLEY D.D.S.
NPI 1952440356
Dentist - General Practice in Portage, MI

Q: What is David Cooley's NPI number?

The NPI number for David Cooley is 1952440356. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is David Cooley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is David Cooley enrolled in Medicare?

No. David Cooley has opted out of Medicare through December 13, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for David Cooley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 05, 2007Opted out of Medicare · through Dec 13, 2026

5108 LOVERS LN, SUITE D, PORTAGE, MI 49002(269) 345-1021(269) 345-0948 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. David Fenton Cooley D.d.s. NPPES

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

DR. DAVID FENTON COOLEY D.D.S. (NPI 1952440356) is an individual general practice provider in Portage, Michigan, licensed in Michigan (096850) and active in the NPI registry since February 2007. He has opted out of Medicare through December 13, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952440356

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DAVID FENTON COOLEYCredential: D.D.S.

Location Address5108 LOVERS LN, SUITE DPortage, MI 49002-1558

Mailing Address5108 Lovers Ln, Suite DPortage, MI 49002-1558 · (269) 345-1021 · Fax (269) 345-0948

Phone(269) 345-1021

Fax(269) 345-0948

Sole ProprietorYes

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1952440356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 096850

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5108 LOVERS LN, Portage, MI 49002

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Other Identifiers 1

Other096850MI · Michigan Provider Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Fenton Cooley D.d.s. 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 December 13, 2010 through December 13, 2026.

Opt-Out Effective DateDecember 13, 2010

Opt-Out In Effect ThroughDecember 13, 2026Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49002 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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 David Cooley's NPI number?

The NPI number for David Cooley is 1952440356. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is David Cooley located?

David Cooley practices at 5108 Lovers Ln Suite D, Portage, MI 49002. The listed phone number is (269) 345-1021.

What is David Cooley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Cooley enrolled in Medicare?

No. David Cooley has opted out of Medicare through December 13, 2026. 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.

When was this NPI record last updated?

The NPPES record for David Cooley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.