Individual provider Active NPI

Donald Wayne Copley, DDS

  • Dentist
  • Des Moines, IA
National Provider Identifier
1093802480
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07233 Issued in IA
Practice address
609 E Euclid
Des Moines, IA 50313
Phone
(515) 282-1359
Fax
(515) 282-4269
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
07233IAMDDentist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 07233 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

609 E Euclid
Des Moines, IA 50313

Mailing address

609 E Euclid
Des Moines, IA 50313
Phone (515) 282-1359

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093802480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E EUCLID",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50313",
            "telephone_number": "515-282-1359",
            "fax_number": "515-282-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E EUCLID",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50313",
            "telephone_number": "515-282-1359",
            "fax_number": "515-282-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLEY",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "07233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.