Jasmine Copeland, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000010853 Issued in TN

Practice address

1251 Wesley Dr Ste 130
Memphis, TN 38116-6443

Phone

(901) 332-9170

NPI assigned

Dec 4, 2018

Sex

Female

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.

• Raymond Cosmetic & Implant Dentistry

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1023898145
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1063982957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 MAYFIELD RD S",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173314",
            "telephone_number": "901-754-6985",
            "fax_number": "901-332-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 WESLEY DR STE 130",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166443",
            "telephone_number": "901-332-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4185-21",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000010853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Leigh Cooper, PHD, LPC
• Rana Cooper, FNP-C
• Raymond Lebron Cooper, M.D.
• Stanley M. Cooper
• Thomas Eugene Cooper, FNP-C, ACNP-BC
• Mary Copeland, M.S., CCC-SLP
• Melanie Copeland, LCSW
• Micarol Copeland
• Vincent Heard Copeland, DDS
• Willie M Copeland, MSW

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.