Dennis P Koper, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

26612 Issued in KY

Practice address

839 S 2ND St
Louisville, KY 40203-2209

Phone

(502) 583-5834

NPI assigned

Aug 31, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1346796109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032209",
            "telephone_number": "502-583-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPER",
        "first_name": "DENNIS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "26612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kool Smiles, PSC
• David Koonce, APRN
• William L Koontz, MD
• Holly Raeann Koopman, OD
• Hermine Joelle Kopala, RPH
• Morgan Kopka, RDN, LD
• Kopp & Luckett Family Dentistry, PLLC
• Brian Matthew Kopp, D.M.D.
• Heidi Kopp, OTR/L
• Tara Marie Kopp, M.D.

• General Practice Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.

Verify at the official NPI Registry.