Koperly Inc

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

Organization subpart

No

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

Authorized official

Name

Dr. Mostafa S Koperly, DDS, BDS

Title

President

Phone

(832) 436-8277

Specialties & licenses 1

Addresses

Locations

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": []
}

• Patrick Keogh
• Annegret A Kessler
• Cody L King
• Eliza Klearman, ND, LAC
• Joanna Kluender, NP
• Kathryn Krall, MT
• Kellie Ann Krasovec, DIPL.AC., L.AC.
• Renata Kubina, MEDICAL MASSAGE PRAC
• Kerrie Kuhl, CNM
• Emily Susanne Kunkel, LCSW, MSW,

• Dental Clinic/Center in Edwards, CO
• Providers in Edwards, CO by specialty
• Dental Clinic/Center in Colorado

• 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.