Raymond R Copeland, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

19A15112 Issued in IL

Practice address

915 N Milwaukee Ave
Suite a
Libertyville, IL 60048-1973

Phone

(847) 367-0018

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558430694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MILWAUKEE AVE",
            "address_2": "SUITE A",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481973",
            "telephone_number": "847-367-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MILWAUKEE AVE",
            "address_2": "SUITE A",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481973",
            "telephone_number": "847-367-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "RAYMOND",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "19A15112",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "4031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul David Contos, DDS
• Alaina Adessa Cook
• Kaitlin Cooke, PHD
• Natalie Coorlas, APN
• Jeffrey Raymond Copeland, D.D.S
• Axel Bernard Corey
• Meghan Corkill
• Erin Rawling Cornell, MSOT
• Emely Giselle Corona
• Maria Coronelli, MS, OTR/L

• Endodontics in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Endodontics in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.