Organization Active NPI

Copperfield Family Dentistry, PLLC

Doing business as My Dental of Sugarland

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1588027361
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23546 Issued in TX
Legal business name
COPPERFIELD FAMILY DENTISTRY, PLLC
Doing business as
My Dental of Sugarland
Practice address
4965 Sweetwater Blvd
Sugar Land, TX 77479-3133
Phone
(281) 494-7645
Fax
(281) 494-4624
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Mujib Ashrafi
Title
Member
Phone
(281) 494-7645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23546 TX Primary

Addresses

Primary practice location

4965 Sweetwater Blvd
Sugar Land, TX 77479-3133

Mailing address

4965 Sweetwater Blvd
Sugar Land, TX 77479-3133
Phone (281) 494-7645

Other names 1

  • My Dental of Sugarland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Copperfield Family Dentistry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4965 Sweetwater Blvd
Sugar Land, TX 77479
Phone (281) 494-7645

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1588027361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 SWEETWATER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793133",
            "telephone_number": "281-494-7645",
            "fax_number": "281-494-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 SWEETWATER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793133",
            "telephone_number": "281-494-7645",
            "fax_number": "281-494-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERFIELD FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "ASHRAFI",
        "authorized_official_first_name": "MUJIB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "281-494-7645"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dental of Sugarland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.