NPIMap

Organization Active NPI

Kevin C Kopp DDS LTD

  • Prosthodontics
  • Elmhurst, IL
National Provider Identifier
1306493085
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
KEVIN C KOPP DDS LTD
Practice address
188 N York St
Elmhurst, IL 60126-2715
Phone
(630) 941-8398
Fax
(630) 941-8408
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Kevin C Kopp, DDSNPI 1659449775
Title
Owner
Phone
(630) 941-8398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

188 N York St
Elmhurst, IL 60126-2715

Mailing address

188 N York St
Elmhurst, IL 60126-2715
Phone (630) 941-8398

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1306493085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262715",
            "telephone_number": "630-941-8398",
            "fax_number": "630-941-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262715",
            "telephone_number": "630-941-8398",
            "fax_number": "630-941-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN C KOPP DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "KOPP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-941-8398",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.