NPIMap

Organization Active NPI

Kopuri Orthodontist PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orange City, FL
National Provider Identifier
1144512583
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 10552 Issued in FL
Legal business name
KOPURI ORTHODONTIST PA
Practice address
200 Treemont Dr
Orange City, FL 32763-7945
Phone
(386) 775-8707
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. N Rao Kopuri, B.D.S.,M.S.
Title
President
Phone
(321) 427-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN 10552 FL Primary

Addresses

Primary practice location

200 Treemont Dr
Orange City, FL 32763-7945

Mailing address

726 Hawksbill Island Dr
Satellite Beach, FL 32937-3851
Phone (321) 427-3000

National Provider Directory

National Provider Directory
Tax ID family
Kopuri Orthodontist PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1144512583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 HAWKSBILL ISLAND DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373851",
            "telephone_number": "321-427-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TREEMONT DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637945",
            "telephone_number": "386-775-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPURI ORTHODONTIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "KOPURI",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-427-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN  10552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.