Polina Kopii

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18037 Issued in MD

Practice address

9601 Blackwell Rd Ste 310
Rockville, MD 20850-6710

Phone

(240) 428-7311

NPI assigned

Jul 17, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jae Y Jang DMD LLC

  • Dental Clinic/Center
  • Rockville, MD
  • NPI 1659038503
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1649959743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9756 ATHLETIC WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785377",
            "telephone_number": "503-995-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506710",
            "telephone_number": "240-428-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPII",
        "first_name": "POLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Koomson
• Christopher Koontz
• Honor Koontz
• Margaret Lindsay Koosed, LMSW
• Selena Kooy-Bernal
• Julia Claire Korenman, MD
• Joan Korkpan
• Piper Korn
• Makayla Kornegay
• Christiana Koroma

• General Practice Dentistry in Rockville, MD
• Providers in Rockville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.