Organization Active NPI

Copperfield Smile Center, LLP

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1467722215
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COPPERFIELD SMILE CENTER, LLP
Practice address
15218 West Rd
Houston, TX 77095-1916
Phone
(281) 550-7276
Fax
(281) 550-7295
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Jason Michael Derr, DDSNPI 1053534164
Title
Partner
Phone
(281) 443-7524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

15218 West Rd
Houston, TX 77095-1916

Mailing address

2535 FM 1960 East
Houston, TX 77073
Phone (281) 550-7276

National Provider Directory

National Provider Directory

Locations

15218 West Rd
Houston, TX 77095
Phone (281) 550-7276

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1467722215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 FM 1960 EAST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77073",
            "telephone_number": "281-550-7276",
            "fax_number": "281-550-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15218 WEST RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951916",
            "telephone_number": "281-550-7276",
            "fax_number": "281-550-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERFIELD SMILE CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "DERR",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "281-443-7524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.