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Enrollment ID I20161010000246 resolves to a single NPI record. Open the full profile for complete detail.

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CC
NPI · 1093920761 · Active
Charles Cooley D.D.S.
Dentist · Tyler, Texas
Active
NPI
1093920761
Enrollment ID
I20161010000246
Taxonomy
122300000X
Type
Order And Referring Only - Dentist

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 201047746NY· Issued by DELTA DENTAL
  • 201047746KY· Issued by AETNA
  • 201047746CA· Issued by BC LIFE & HEALTH DENTAL SERVICES
  • 201047746NC· Issued by COVENTRY HEALTH CARE
  • 201047746NE· Issued by AMERITAS LIFE
  • 201047746MA· Issued by SUN LIFE AND HEALTH INS.
  • 201047746UT· Issued by UNITED HEALTHCARE DENTAL
  • 201047746MO· Issued by GEHA STATE OF TX DENTAL CHOICE
  • 201047746PA· Issued by UNITED CONCORDIA
  • 201047746KY· Issued by HUMANA
  • 201047746CA· Issued by LIBERTY DENTAL
  • 201047746IA· Issued by ASSURANT
  • 201047746MI· Issued by DELTA DENTAL OF MI, OH, IN
  • 201047746OK· Issued by BLUE CROSS BLUE SHIELD OF OKLAHOMA
  • 201047746TN· Issued by BLUE CROSS BLUE SHIELD OF TENNESSEE
  • 201047746CA· Issued by DELTA DENTAL OF CALIFORNIA
  • 20104776NC· Issued by PRIMARY CARE PHYSICIANS
  • 20104776IL· Issued by DENTAL NETWORK OF AMERICA
  • 201047746TX· Issued by METLIFE DENTAL
  • 201047746TX· Issued by FISERVHEALTH
  • 201047746· Issued by CIGNA
  • 201047746CA· Issued by UNICARE
  • 201047746TX· Issued by UMR
  • 201047746IA· Issued by DELTA DENTAL OF IOWA
  • 201047746AR· Issued by DELTA DENTAL OF ARKANSAS
  • 201047746AL· Issued by BLUE CROSS BLUE SHIELD OF ALABAMA
  • 201047746MN· Issued by DELTA DENTAL
  • 201047746OK· Issued by OLD SURRETY LIFE
  • 201047746TN· Issued by DELTA DENTAL OF TENNESSEE
  • 201047746WA· Issued by STERLING LIFE INS. CO.
  • 201047746KS· Issued by DELTA DENTAL
  • 201047746TX· Issued by BLUE CROSS BLUE SHIELD FEDERAL
  • 201047746IL· Issued by LINECO
  • 201047746KY· Issued by DELTA DENTAL OF KENTUCKY
  • 20104776TX· Issued by HEALTHFIRST TPA
  • 20104776VA· Issued by GENWORTH FINANCIAL
  • 201047746GA· Issued by DELTA DENTAL OF GEORGIA
  • 201047746IA· Issued by PRINCIPAL LIFE
  • 201047746FL· Issued by COMPBENEFITS
  • 201047746IL· Issued by BLUE CROSS BLUE SHIELD OF ILLINOIS
  • 20104776TX· Issued by WEB TPA
  • 201047746NJ· Issued by DELTA DENTAL
  • 201047746WA· Issued by GUARDIAN
  • 201047746· Issued by CENTRAL STATES SOUTHEAST AND SOUTHWEST
  • 201047746CA· Issued by SAFEHEALTH LIFE INS.
  • 88D834TX· Issued by BLUE CROSS BLUE SHIELD

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.