Jennifer Lim Kopacz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048305-1 Issued in NY

Practice address

980 Westfall Rd
Suite 120
Rochester, NY 14618-2605

Phone

(585) 442-6600

Fax

(585) 442-9719

NPI assigned

Oct 17, 2006

Last updated

May 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lim Kendrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicosia Dental DDS PLLC

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1538206594
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1558442772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WESTFALL RD",
            "address_2": "SUITE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182605",
            "telephone_number": "585-442-6600",
            "fax_number": "585-442-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WESTFALL RD",
            "address_2": "SUITE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182605",
            "telephone_number": "585-442-6600",
            "fax_number": "585-442-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACZ",
        "first_name": "JENNIFER",
        "middle_name": "LIM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048305-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KENDRICK",
            "middle_name": "LIM",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine Konyk
• Alize Jailene Koolen, DPM
• Susan M. Koomen, NP
• Nicole Taylor Koopman, DPT
• Scott J Koopman, DDS
• Jocelyn Kopfman, LMSW
• Alexander Thomas Kopicki, DPT
• Bethany Ann Kopin, PHARMD
• Laurie Kopin, NP
• Laura Jane Kopp, MD.

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.