David Coppock
Individual provider Active NPI Homemaker · Bismarck, ND
NPI 1033920533 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1033920533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 2130 S 12TH St Apt 122
Bismarck, ND 58504-3144 - Phone
- (803) 394-4767
- NPI assigned
- Jan 15, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Love Home Care | Homemaker | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
2130 S 12TH St Apt 122
Bismarck, ND 58504-3144
Mailing address
2130 S 12TH St Apt 122
Bismarck, ND 58504-3144
Phone (803) 394-4767
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.