Active NPI
Jaycee Amanda Copher
- Dental Therapist
- Oregon City, OR
National Provider Identifier
1134827728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- D0003
- Practice address
- 365 Warner Milne Rd
Oregon City, OR 97045-4073 - Phone
- (971) 206-7115
- NPI assigned
- Feb 22, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | D0003 | OR | Primary |
Addresses
Primary practice location
365 Warner Milne Rd
Oregon City, OR 97045-4073
Mailing address
365 Warner Milne Rd Ste 110
Oregon City, OR 97045-4073
Phone (971) 206-7115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT0003 | Medicaid | OR |
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 |
|---|---|---|---|
| D0003 | OR | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1134827728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 WARNER MILNE RD STE 110",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454073",
"telephone_number": "971-206-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 WARNER MILNE RD",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454073",
"telephone_number": "971-206-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPHER",
"first_name": "JAYCEE",
"middle_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "OR",
"license": "D0003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DT0003",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.