1699206680 NPI number — IMPROVEABILITY LLC

Table of content: DR. KEVIN PATRICK COOPER D.D.S. (NPI 1154391225)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699206680 NPI number — IMPROVEABILITY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IMPROVEABILITY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699206680
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3310 W BRAKER LN
Provider Second Line Business Mailing Address:
SUITE 300-424
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78758-7853
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-522-1705
Provider Business Mailing Address Fax Number:
888-501-1009

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
209 S. 12TH ST.
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
PFLUGERVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78660-6208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-522-1705
Provider Business Practice Location Address Fax Number:
888-501-1009
Provider Enumeration Date:
03/22/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VERDONE
Authorized Official First Name:
ANTOINETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
512-522-1705

Provider Taxonomy Codes

  • Taxonomy code: 171W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171WH0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)