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Deactivated NPI 1841283975 Deactivated / Inactive NPI Male Practitioner

Dr. Ernest W. Cooper , DDS

Dentist - General Practice • Johnson City, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ernest Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 24, 2005
NPI Deactivation Date March 27, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Ernest Cooper, DDS was a registered Dentist - General Practice practicing in Johnson City, TN. Throughout an active medical career spanning 1 years, Dr. Cooper provided care at the practice location at 515 E WATAUGA AVE until profile deactivation on 2006-03-27.

Practice Location & Contact Primary Location

Practice Address

515 E Watauga Ave

Johnson City, TN 376014038

Telephone 4239282621
Fax 4239282263
Associated Practice Facility / Clinic
🏢 E.w. Cooper D.d.s Facility NPI 1063718724

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Johnson City, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
36 Specialists

Practicing in Johnson City, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN DS0000003275

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tenncare
0016346 (TN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 515 E WATAUGA AVE, JOHNSON CITY, TN 376014038 (Tel: 4239282621)

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Updated Business Mailing Address July 08, 2007

Registered at 515 E WATAUGA AVE, JOHNSON CITY, TN 376014038 (Tel: 4239282621)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ERNEST COOPER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DS0000003275 in TN)

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NPI Profile Reactivated April 04, 2006

Record officially reactivated for active practice on April 04, 2006

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NPI Profile Deactivated March 27, 2006

Record deactivated on March 27, 2006

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Initial NPI Registration & Enumeration August 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841283975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2005
Last Update: July 13, 2026
Deactivation Date: March 27, 2006
Sole Proprietor: No

Mailing Address

515 E Watauga Ave

Johnson City, TN 376014038

Phone: 4239282621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.