Sameet Koppikar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D6333 Issued in AZ

Practice address

4202 N 32ND St
Suite B
Phoenix, AZ 85018-4746

Phone

(602) 954-8200

Fax

(602) 954-8786

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sameet Koppikar DDS, PC

  • Dentist
  • Phoenix, AZ
  • NPI 1326927492
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1043237753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 N 52ND ST",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531515",
            "telephone_number": "480-776-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 N 32ND ST",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184746",
            "telephone_number": "602-954-8200",
            "fax_number": "602-954-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11050 N Saguaro Blvd",
            "address_purpose": "LOCATION",
            "city": "Fountain Hills",
            "state": "AZ",
            "postal_code": "852685549",
            "country_code": "US",
            "telephone_number": "480-837-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPPIKAR",
        "first_name": "SAMEET",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6333",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenna Lynne Kopacz, DNP FNP-C
• Tammy Kopelman, MD
• Jessica Kopesky, COTA/L
• Walter Edwin Koppenbrink III, M.D.
• Sarah Koppenhoefer-Little, OTR/L
• Zackery Kopping, DC
• Shailaja Devi Koppolu, M.D.
• Sampunarao Koppula, M.D.
• Lori A Kopulos, PA-C
• Felix Asiedu Koranteng, PMHNP

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.