Dmitriy Koptev

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

1629286 Issued in CO

Practice address

421 Zang St
Lakewood, CO 80228-1052

Phone

(303) 996-3844

NPI assigned

Mar 21, 2015

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426896000000",
    "number": "1437543071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 ZANG ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ZANG ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281052",
            "telephone_number": "303-996-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPTEV",
        "first_name": "DMITRIY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-21",
        "last_updated": "2015-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CO",
            "license": "1629286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Marie Konyndyk, APRN
• Robert A. Kooken, PH.D.
• Tiffany Alexis Koonce, DO
• Julie Ann Koornneef, PT
• Virginia Kooyman, VIRGINIA
• Julie Kora, RD
• Katherine Korenke, MS
• Joseph Korevec
• Rebecca Louise Kornas
• Craig M. Kornbluth, M.D.

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2015; 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.