Active NPI
Barton Wright Coppin, DMD, MSD, MS ED
- Periodontics
- Olympia, WA
National Provider Identifier
1558680819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DE60144558
- Practice address
- 128 Lilly Rd NE
Suite 105
Olympia, WA 98506-7400 - Phone
- (360) 357-9880
- NPI assigned
- May 26, 2010
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DE60144558 | WA | Primary |
Addresses
Primary practice location
128 Lilly Rd NE
Suite 105
Olympia, WA 98506-7400
Mailing address
2946 Monta Vista St SE
Olympia, WA 98501-3575
Phone (206) 491-0124
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60144558 | WA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coppin & Lane, PLLC | Periodontics | Past | Accepting new patients |
| Donald G. Echols | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Olympia, WA
- NPI 1710243514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1558680819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2946 MONTA VISTA ST SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985013575",
"telephone_number": "206-491-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 LILLY RD NE",
"address_2": "SUITE 105",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985067400",
"telephone_number": "360-357-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPIN",
"first_name": "BARTON",
"middle_name": "WRIGHT",
"name_prefix": "Dr.",
"credential": "DMD, MSD, MS ED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-26",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE60144558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.