NPIMap

Organization Active NPI

Koperly Inc

  • Dental Clinic/Center
  • Edwards, CO
National Provider Identifier
1124489018
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DEN00202418 Issued in CO
Legal business name
KOPERLY INC
Practice address
27 Main St
Unit 104
Edwards, CO 81632-8109
Phone
(832) 436-8277
NPI assigned
Mar 18, 2016
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Dr. Mostafa S Koperly, DDS, BDSNPI 1417346727
Title
President
Phone
(832) 436-8277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DEN00202418 CO Primary

Addresses

Primary practice location

27 Main St
Unit 104
Edwards, CO 81632-8109

Mailing address

27 Main St
Unit 104
Edwards, CO 81632-8109
Phone (832) 436-8277

National Provider Directory

National Provider Directory

Locations

27 Main St
Unit 104
Edwards, CO 81632
Phone (832) 436-8277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1124489018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "address_2": "UNIT 104",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816328109",
            "telephone_number": "832-436-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "address_2": "UNIT 104",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816328109",
            "telephone_number": "832-436-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPERLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "KOPERLY",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-436-8277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, BDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DEN00202418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.