Active NPI
Thomas Aristides Copulos, D.D.S
- Periodontics
- Boca Raton, FL
National Provider Identifier
1144256876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN 11790
- Practice address
- 1000 NW 9TH CT
Suite 106
Boca Raton, FL 33486-2268 - Phone
- (561) 338-7115
- Fax
- (561) 338-7197
- NPI assigned
- Jun 24, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN 11790 | FL | Primary |
Addresses
Primary practice location
1000 NW 9TH CT
Suite 106
Boca Raton, FL 33486-2268
Mailing address
1000 NW 9TH CT
Suite 106
Boca Raton, FL 33486-2268
Phone (561) 338-7115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150626000162 | FL | Order and Referring Only - Oral Surgery | 5294046678 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 11790 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144256876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NW 9TH CT",
"address_2": "SUITE 106",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862268",
"telephone_number": "561-338-7115",
"fax_number": "561-338-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NW 9TH CT",
"address_2": "SUITE 106",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862268",
"telephone_number": "561-338-7115",
"fax_number": "561-338-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPULOS",
"first_name": "THOMAS",
"middle_name": "ARISTIDES",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN 11790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Courtney Cooper, LMHC
- Erik A Cooper, D.O.
- Sheila M Cooperman, MS
- Cory Copensky, PHARMD.
- Michael Andrew Coplin, M.D., M.B.A
- Joseph V Copulsky, MD
- Cora Health Services Inc (CORA Physical Therapy - East Boca)
- Cora Health Services, Inc (CORA Physical Therapy - West Boca Raton)
- Coral Ridge Anesthesia Services, LLC
- Diego Coral
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.