Individual provider Active NPI

Joanne Copps, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1629169057
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57267 Issued in CA
Practice address
5181 Argonne CT
San Diego, CA 92117-1054
Phone
(858) 997-7390
NPI assigned
Sep 28, 2006
Last updated
Jun 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47071268413MedicaidNE
0492033MedicaidIA

Other names 1

  • Dr. Ruo-Yu Wang Former name

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
8394IAMDGeneral Practice Dentistry
6659NEMDGeneral Practice Dentistry
57267CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.