Active NPI
Kenneth C Copeland, MD
- Pediatric Endocrinology Physician
- Oklahoma City, OK
National Provider Identifier
1477521557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 21431
- Practice address
- 1200 N Phillips Ave
Suite 4500
Oklahoma City, OK 73104-4600 - Phone
- (405) 271-2006
- Fax
- (405) 271-2263
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 21431 | OK | Primary |
Addresses
Primary practice location
1200 N Phillips Ave
Suite 4500
Oklahoma City, OK 73104-4600
Mailing address
1122 NE 13TH St
Ori236
Oklahoma City, OK 73117-1039
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21431 | OK | MD | Pediatric Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1477521557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 NE 13TH ST",
"address_2": "ORI236",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N PHILLIPS AVE",
"address_2": "SUITE 4500",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044600",
"telephone_number": "405-271-2006",
"fax_number": "405-271-2263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "KENNETH",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "OK",
"license": "21431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.