NPIMap

Organization Active NPI

Kopit Dental Care, PA

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1427656248
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOPIT DENTAL CARE, PA
Practice address
3420 Worthington Blvd Ste a
Frederick, MD 21704-7020
Phone
(301) 874-6350
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Dr. Michael M Pesin, DDSNPI 1457440174
Title
VP
Phone
(301) 378-2595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3420 Worthington Blvd Ste a
Frederick, MD 21704-7020

Mailing address

3420 Worthington Blvd Ste a
Frederick, MD 21704-7020
Phone (410) 274-4044

Other names 1

  • Kopit Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

3420 Worthington Blvd
#A
Frederick, MD 21704
Phone (301) 874-6350

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1427656248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 WORTHINGTON BLVD STE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047020",
            "telephone_number": "410-274-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 WORTHINGTON BLVD STE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047020",
            "telephone_number": "301-874-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPIT DENTAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "PESIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "301-378-2595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kopit Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.