Active NPI
Joanne Copps, D.D.S.
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1629169057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57267
- Practice address
- 5181 Argonne CT
San Diego, CA 92117-1054 - Phone
- (858) 997-7390
- NPI assigned
- Sep 28, 2006
- Last updated
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8394 | IA | |
| General Practice Dentistry | 1223G0001X | 6659 | NE | |
| General Practice Dentistry | 1223G0001X | 57267 | CA | Primary |
Addresses
Primary practice location
5181 Argonne CT
San Diego, CA 92117-1054
Mailing address
5181 Argonne CT
San Diego, CA 92117-1054
Phone (858) 997-7390
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47071268413 | Medicaid | NE | |
| 0492033 | Medicaid | IA |
Other names 1
- Dr. Ruo-Yu Wang
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8394 | IA | MD | General Practice Dentistry |
| 6659 | NE | MD | General Practice Dentistry |
| 57267 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joanne Copps DDS Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
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": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1629169057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5181 ARGONNE CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921171054",
"telephone_number": "858-997-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5181 ARGONNE CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921171054",
"telephone_number": "858-997-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPS",
"first_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "8394",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6659",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47071268413",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0492033",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUO-YU",
"last_name": "WANG",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.