Vidya Madhuri Koppineedi, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

D8689 Issued in OR

Practice address

7836 NE Sandy Blvd
Portland, OR 97213-6467

Phone

(503) 288-3107

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629104278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7844 SW ALDER ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247240",
            "telephone_number": "503-432-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136467",
            "telephone_number": "503-288-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPINEEDI",
        "first_name": "VIDYA",
        "middle_name": "MADHURI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP ID NUMBER",
            "identifier": "240161",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Kopf, LMT
• Charles Kopp
• Ryan Patrick Kopp, M.D
• Peyton Olivia Koppenhaver
• Theresa Marie Koppie, MD
• Sarah Kopplin, MSW
• Christopher Koprowski, M.D.
• Lisa Marie Koralewicz, LCSW
• William Kent Korbacher, M.D.
• Veselina Borisova Korcheva, M.D.

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

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

Verify at the official NPI Registry.