Individual provider Active NPI

Howard Ronald Kopel, DDS

  • General Practice Dentistry
  • Simi Valley, CA
National Provider Identifier
1356584957
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26453 Issued in CA
Practice address
4537 Alamo Street #a
Simi Valley, CA 93063
Phone
(805) 520-1100
NPI assigned
Apr 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26453 CA Primary

Addresses

Primary practice location

4537 Alamo Street #a
Simi Valley, CA 93063

Mailing address

1138 Golden Crest
Newbury Park, CA 91320
Phone (818) 451-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202001134 CA Practitioner - Dentist 9830492131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26453CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
I Zak DDS Prof Dental Corp CurrentSince Dec 19, 2023 Accepting new patients
I Zak DDS Prof Dental Corp CurrentSince Dec 19, 2023 Accepting new patients
I Zak DDS Prof Dental Corp General Practice PastSince Apr 3, 2022 Accepting new patients
Zak Dental Corp General Practice Past Accepting new patients

Locations

10501 Lakewood Blvd
#B
Downey, CA 90241
Phone (562) 862-2341

3620 Long Beach Blvd
Ste B6
Long Beach, CA 90807
Phone (562) 426-6458

4167 Ohio St
San Diego, CA 92104
Phone (619) 281-6635

5168 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 683-5300

3355 Cochran St
Ste 206
Simi Valley, CA 93063
Phone (805) 520-1100

41593 Winchester Rd
Ste 211
Temecula, CA 92590
Phone (562) 862-2341

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1356584957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 GOLDEN CREST",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "818-451-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 ALAMO STREET #A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93063",
            "telephone_number": "805-520-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEL",
        "first_name": "HOWARD",
        "middle_name": "RONALD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.