Active NPI
James Andrew Kopfensteiner, DDS
- Periodontics
- Saint Peters, MO
National Provider Identifier
1356433460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 15057
- Practice address
- 303 Jungermann Rd
Suite D
Saint Peters, MO 63376-5366 - Phone
- (636) 928-8790
- Fax
- (636) 928-1291
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 15057 | MO | Primary |
Addresses
Primary practice location
303 Jungermann Rd
Suite D
Saint Peters, MO 63376-5366
Mailing address
303 Jungermann Rd
Suite D
Saint Peters, MO 63376-5366
Phone (636) 928-8790
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 723952 | Other | PA | UNITED CONCORDIA # |
| 107455 | Other | MO | BLUE CROSS BLUE SHIELD # |
| 605749 | Other | IL | COMPBENEFITS FACILITY ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15057 | MO | MD | Periodontist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Charles County Periodontics
- Periodontics
- Saint Peters, MO
- NPI 1689813347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356433460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 JUNGERMANN RD",
"address_2": "SUITE D",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765366",
"telephone_number": "636-928-8790",
"fax_number": "636-928-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 JUNGERMANN RD",
"address_2": "SUITE D",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765366",
"telephone_number": "636-928-8790",
"fax_number": "636-928-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPFENSTEINER",
"first_name": "JAMES",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MO",
"license": "15057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA #",
"identifier": "723952",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "107455",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPBENEFITS FACILITY ID",
"identifier": "605749",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.