Melissa J Copps, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5695 Issued in WI

Practice address

1202 County Road PH
Suite 300
Onalaska, WI 54650

Phone

(608) 783-7330

Fax

(608) 783-5082

NPI assigned

Nov 28, 2006

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dental Implant Center

  • Dentist
  • Onalaska, WI
  • NPI 1588972590
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679649719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 COUNTY ROAD PH",
            "address_2": "SUITE 300",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "54650",
            "telephone_number": "608-783-7330",
            "fax_number": "608-783-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 COUNTY ROAD PH",
            "address_2": "SUITE 300",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "54650",
            "telephone_number": "608-783-7330",
            "fax_number": "608-783-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPS",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Sue Connaughty, RN
• Angela M Connely, CNM
• McKenzi Cook, LCSW
• Michelle Cooley
• Joshua Paul Cooper, ATC
• Core Choice S.C.
• Cornerstone Caregiving East LLC
• Karen L Corona-Londre, PSYD, BCBA
• Coulee Techlink, Inc
• Courage to Grow Counseling Center, LLC

• General Practice Dentistry in Onalaska, WI
• Providers in Onalaska, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.