Active NPI
Daniel Paul Copps, DDS
- Prosthodontics
- Tarzana, CA
National Provider Identifier
1548481757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D28670
- Practice address
- 5567 Reseda Blvd
#312
Tarzana, CA 91356 - Phone
- (818) 705-1300
- Fax
- (818) 705-1766
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | D28670 | CA | Primary |
Addresses
Primary practice location
5567 Reseda Blvd
#312
Tarzana, CA 91356
Mailing address
5567 Reseda Blvd
#312
Tarzana, CA 91356
Phone (818) 705-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D28670 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051108001094 | CA | Practitioner - Oral Surgery | 2062430085 | Practice locations: Tarzana, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Creighton University School of Dentistry, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5567 Reseda Blvd
Suite 312
Tarzana, CA 91356-2673
Phone (818) 705-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D28670 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548481757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5567 RESEDA BLVD",
"address_2": "#312",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "818-705-1300",
"fax_number": "818-705-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5567 RESEDA BLVD",
"address_2": "#312",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "818-705-1300",
"fax_number": "818-705-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPS",
"first_name": "DANIEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "D28670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D28670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.