Coppin & Lane, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

COPPIN & LANE, PLLC

Doing business as

South Bay Periodontics

Practice address

720 Lilly Rd SE
Olympia, WA 98501-2199

Phone

(360) 357-9880

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Emily Anne Robbins

Title

Office Manager

Phone

(360) 357-9880

Specialties & licenses 1

Addresses

Other names 1

• South Bay Periodontics Doing business as

Locations

Practitioners 2

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

• Barton Wright Coppin, DMD, MSD, MS ED

  • Periodontics
  • Olympia, WA
  • NPI 1558680819
  NPD (past)
• Michael Kenneth Holler, D.M.D

  • Periodontics
  • Port Hueneme, CA
  • NPI 1457598849
  NPD (past)

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1528756152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LILLY RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012199",
            "telephone_number": "360-357-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LILLY RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012199",
            "telephone_number": "360-357-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPIN & LANE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-357-9880"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Bay Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce E Cooper, DDS
• Hasseltine Elizabeth Cooper, D.O.
• Joanne Barry Cooper, LMP
• Samuel E. Coor, DO
• Copper Moon Massage Therapy
• Barton Wright Coppin, DMD, MSD, MS ED
• Karen Coppock, BA
• Alexander Corbitt, CRNA
• Fanny Cordero, INTERPRETER
• Karen Woodbury Cordero, N.D.

• Periodontics in Olympia, WA
• Providers in Olympia, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.