Jenny G Kopp DDS Ms LTD Prem Endo of Hinsdale

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

JENNY G KOPP DDS MS LTD PREM ENDO OF HINSDALE

Practice address

522 Chestnut Street
Suite Ga
Hinsdale, IL 60521

Phone

(630) 655-3636

Fax

(630) 655-3767

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Betty Ann Mucker

Title

Office Manager

Phone

(630) 655-3636

Specialties & licenses 1

Addresses

Other names 1

• Premier Endodontics of Hinsdale Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669532255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CHESTNUT STREET",
            "address_2": "SUITE GA",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-655-3636",
            "fax_number": "630-655-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CHESTNUT STREET",
            "address_2": "SUITE GA",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-655-3636",
            "fax_number": "630-655-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY G KOPP DDS MS LTD PREM ENDO OF HINSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUCKER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-655-3636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Endodontics of Hinsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Bergfeld LCSW, P.C
• Sahrish Javed
• Andrew Jedd, MA, MS
• Faizah Shermin Jeelani, DO
• Amy Jeffers, LCPC
• Jesse Brown VA Medical Center
• Umama Mohammed Jilani, MOT, OTR/L
• Amanda Jirka, DPT
• John Bulger, M. D., S. C.
• Patrick John

• Endodontics in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.