Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Charles Robert Cooley, DMD

Dentist in Meridian, ID · enumerated 2020 · practices at Stone Creek Dental.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063037315

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Registry record

Entity type Individual (Type 1)

Name Dr. Charles Robert Cooley

Credential DMD

Sex Male

Practice address 2630 S Eagle Rd, Meridian, ID, 83642

Phone (208) 888-0625

Fax (208) 888-9128

Enumeration date Jun 12, 2020

Last updated in NPPES Jun 12, 2020

Taxonomy & licenses

122300000X Dentist Dental Providers · License D-5153 (ID) Primary

DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

Other identifiers

Identifier	Type	State	Issuer
D5153	Other	ID	STATE LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Charles Cooley practice?

The practice location on file with NPPES is in Meridian, ID. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Charles Cooley?

The National Provider Identifier (NPI) for Charles Cooley is 1063037315, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Casey Butterfield General Practice Dentistry · Meridian, ID NPI 1720095003 Stone Creek Dental General Practice Dentistry · Meridian, ID NPI 1568621886

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-12.