NPIMap

Organization Active NPI

Michael R Coppe DMD

  • Pediatric Dentistry
  • Lexington, MA
National Provider Identifier
1255637195
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11347 Issued in MA
Legal business name
MICHAEL R COPPE DMD
Practice address
19 Muzzey St
Suite 6
Lexington, MA 02421-5256
Phone
(781) 861-6120
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Michael Richard Coppe
Title
DMD
Phone
(781) 861-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 11347 MA Primary

Addresses

Primary practice location

19 Muzzey St
Suite 6
Lexington, MA 02421-5256

Mailing address

19 Muzzey St
Suite 6
Lexington, MA 02421-5256

Other identifiers 2

IdentifierTypeStateIssuer
0207772MedicaidMA
1639264435OtherMANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1255637195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MUZZEY ST",
            "address_2": "SUITE 6",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MUZZEY ST",
            "address_2": "SUITE 6",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215256",
            "telephone_number": "781-861-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R COPPE DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "COPPE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "781-861-6120"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "11347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207772",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639264435",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.