NPIMap

Individual provider Active NPI

Craig Fleming Copeland, D.M.D

  • Dentist
  • Arlington, TX
National Provider Identifier
1184936726
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25735 Issued in TX
Practice address
2628 Matlock Rd
Arlington, TX 76015-2525
Phone
(940) 220-7833
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25735 TX Primary

Addresses

Primary practice location

2628 Matlock Rd
Arlington, TX 76015-2525

Mailing address

2628 Matlock Rd
Arlington, TX 76015-2525
Phone (817) 468-3077

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
25735TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Dentist,LLC Current Accepting new patients
Las Palmas Dental, PLLC Current Accepting new patients
Emergency Dentist,LLC Current Accepting new patients
South West Freeway Family Dentistry, PLLC PastSince Dec 27, 2020 Accepting new patients
Carmel Village Family Dentistry, PLLC PastSince Mar 22, 2020 Accepting new patients
Mineral Wells, PLLC Past Accepting new patients
Synthesis Renovo Dentistry, PLLC Past Accepting new patients
Dyer Family Dentistry, PLLC PastSince Jan 17, 2021 Accepting new patients
South Plano Family Dentistry, PLLC PastSince Apr 10, 2022 Accepting new patients
North Texas Boulevard Dental, PLLC Past Accepting new patients
Saratoga Boulevard Family Dental, PLLC Past Accepting new patients
South Josey Lane Family Dental PLLC PastSince Dec 22, 2020 Accepting new patients
South Buckner Family Dentistry, PLLC PastSince Dec 27, 2020 Accepting new patients
Lockhart Dental, PLLC Past Accepting new patients
4TH Street Dental, PLLC Past Accepting new patients
Lowes Boulevard Family Dentistry, PLLC Dentist PastSince Feb 16, 2020 Accepting new patients
Commerce Dental, PLLC Past Accepting new patients

Locations

810 S General McMullen Dr
Ste 108
San Antonio, TX 78237
Phone (210) 200-8069

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1184936726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152525",
            "telephone_number": "817-468-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152525",
            "telephone_number": "940-220-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "CRAIG",
        "middle_name": "FLEMING",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.