Individual provider Active NPI

Richard D. Kopke, M.D.

  • Otology & Neurotology Physician
  • Oklahoma City, OK
National Provider Identifier
1013014091
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
23693 Issued in OK
Practice address
3400 NW 56TH St
Oklahoma City, OK 73112-4463
Phone
(405) 946-5563
Fax
(405) 947-6226
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 23693 OK Primary

Addresses

Primary practice location

3400 NW 56TH St
Oklahoma City, OK 73112-4463

Mailing address

3400 NW 56TH St
Oklahoma City, OK 73112-4463
Phone (405) 946-5563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000877 OK Practitioner - Otolaryngology 8123017480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Otologic Medical Clinic, Inc. Otology & Neurotology CurrentSince Mar 15, 2009 Accepting new patients
Hough Ear Hearing and Speech Center Inc. PastSince Sep 1, 2016 Accepting new patients

Locations

3400 NW 56th St
Oklahoma City, OK 73112
Phone (405) 946-5563

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013014091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NW 56TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124463",
            "telephone_number": "405-946-5563",
            "fax_number": "405-947-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NW 56TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124463",
            "telephone_number": "405-946-5563",
            "fax_number": "405-947-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPKE",
        "first_name": "RICHARD",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "OK",
            "license": "23693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.