Janet Lynn Koprince, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

JK009234 Issued in MI

Practice address

713 N Main St
Royal Oak, MI 48067-1835

Phone

(248) 548-7707

Fax

(248) 548-7736

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

College of Osteo Med of the Pacific at Pomona, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Koprince Dermatology PLC

  • Dermatology Physician
  • Royal Oak, MI
  • NPI 1821298167
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1205875085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671835",
            "telephone_number": "248-548-7707",
            "fax_number": "248-548-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671835",
            "telephone_number": "248-548-7707",
            "fax_number": "248-548-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPRINCE",
        "first_name": "JANET",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "JK009234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NO.FOR COMMERCIAL",
            "identifier": "383381344",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "070F374350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harvey J Komorn, MD
• Julie M Koning, R.D.
• Robert Henry Konstan, MD
• Jessica Lee Kopchia, DO
• Koprince Dermatology PLC
• Emily Elizabeth Koptyra, MD
• Bonnie Korchak, LMSW, CACII
• Howard J Korman, MD
• Joe Kort, MSW, MA, PH.D.
• Keri Koshkarian I

• Dermatology Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.