Active NPI
Richard Garland Copenhaver, DDS
- Dentist
- Wytheville, VA
National Provider Identifier
1275727240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401006339
- Practice address
- 210 Loretto Drive
Wytheville, VA 24382 - Phone
- (276) 228-3361
- Fax
- (276) 228-0607
- NPI assigned
- Aug 31, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401006339 | VA | Primary |
Addresses
Primary practice location
210 Loretto Drive
Wytheville, VA 24382
Mailing address
210 Loretto Drive
Wytheville, VA 24382
Phone (276) 228-3361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20160226000297 | VA | Order and Referring Only - Dentist | 2860797081 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401006339 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wythe Family Dentistry | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Wytheville, VA
- NPI 1255523148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1275727240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 LORETTO DRIVE",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-228-3361",
"fax_number": "276-228-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 LORETTO DRIVE",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-228-3361",
"fax_number": "276-228-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPENHAVER",
"first_name": "RICHARD",
"middle_name": "GARLAND",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401006339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, VA
- Community Alternatives Virginia, Inc.
- Community Health Care Supplies, Inc.
- Community Sleep & Diagnostic Lab, Inc.
- Kara L Conley, FNP-C
- Geralyn Marie Conway, LCSW
- Savanna Shea Cornett, LCSW
- Counseling Associates of Wytheville, LLC
- Counts Drug Company Inc
- County of Wythe Board of Supervisors
- Ruth R Cox, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.