Individual provider Active NPI

Carter Coppinger

  • General Practice Dentistry
  • Waukee, IA
National Provider Identifier
1619864642
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-10345 Issued in IA
Practice address
325 Melrose Dr
Waukee, IA 50263-8529
Phone
(515) 249-9868
NPI assigned
Jun 23, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-10345 IA Primary

Addresses

Primary practice location

325 Melrose Dr
Waukee, IA 50263-8529

Mailing address

325 Melrose Dr
Waukee, IA 50263-8529
Phone (515) 249-9868

Other practice location 1

801 Grand Ave Ste 150
Des Moines, IA 50309-8014
Phone (515) 517-6761

Other practice location 2

110 S Chestnut Ave
Earlham, IA 50072-2000
Phone (515) 758-2323

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS-10345IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coppinger Dental Group LLC General Practice CurrentSince Jul 28, 2025 Accepting new patients
Dr. Richard C. Apodaca, PC General Practice Past Accepting new patients

Locations

110 S Chestnut Ave
Earlham, IA 50072
Phone (515) 249-9868

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1619864642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MELROSE DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638529",
            "telephone_number": "515-249-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MELROSE DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638529",
            "telephone_number": "515-249-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Grand Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503098014",
            "country_code": "US",
            "telephone_number": "515-517-6761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Earlham",
            "state": "IA",
            "postal_code": "500722000",
            "country_code": "US",
            "telephone_number": "515-758-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPINGER",
        "first_name": "CARTER",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-10345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.