Derrick Copes

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DERRICK COPES

Practice address

1230 W Owens Ave Ste 6
Las Vegas, NV 89106-2451

Phone

(702) 636-5373

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Derrick Copes, BST

Title

Administrator

Phone

(702) 636-5373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1063756161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W OWENS AVE STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062451",
            "telephone_number": "702-636-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W OWENS AVE STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062451",
            "telephone_number": "702-636-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRICK COPES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "COPES",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-636-5373",
        "authorized_official_credential": "BST"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.