Active NPI
Samuel J Kopman, DVM
- Veterinarian
- Vancouver, WA
National Provider Identifier
1093050403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- VT00007511
- Practice address
- 14516 SE Mill Plain Blvd
Vancouver, WA 98684-7418 - Phone
- (360) 892-1440
- Fax
- (360) 892-3822
- NPI assigned
- Dec 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | VT00007511 | WA | Primary |
Addresses
Primary practice location
14516 SE Mill Plain Blvd
Vancouver, WA 98684-7418
Mailing address
14516 SE Mill Plain Blvd
Vancouver, WA 98684-7418
Phone (360) 892-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VT00007511 | WA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1093050403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14516 SE MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986847418",
"telephone_number": "360-892-1440",
"fax_number": "360-892-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14516 SE MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986847418",
"telephone_number": "360-892-1440",
"fax_number": "360-892-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPMAN",
"first_name": "SAMUEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "WA",
"license": "VT00007511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.