Individual provider Active NPI

Gerald Marcus Copeland II, D.M.D.

  • Pediatric Dentistry
  • Tampa, FL
National Provider Identifier
1144223124
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
15386 Issued in FL
Practice address
302 N Howard Ave
Tampa, FL 33606-1509
Phone
(813) 879-8097
Fax
(813) 228-8067
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 15386 FL Primary

Addresses

Primary practice location

302 N Howard Ave
Tampa, FL 33606-1509

Mailing address

4107 W Watrous Ave
Tampa, FL 33629-4943
Phone (813) 391-7740

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
15386FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald M Copeland II DMD Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144223124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 W WATROUS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294943",
            "telephone_number": "813-391-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061509",
            "telephone_number": "813-879-8097",
            "fax_number": "813-228-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND II",
        "first_name": "GERALD",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "15386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.