Organization Active NPI

Kopper Family Dental, PA

  • Dental Clinic/Center
  • Rochester, MN
National Provider Identifier
1679747125
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D11829 Issued in MN
Legal business name
KOPPER FAMILY DENTAL, PA
Practice address
15 7TH Ave NW
Rochester, MN 55901-6222
Phone
(507) 529-5655
Fax
(507) 206-4555
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Kevin Kopper, DDS
Title
Owner
Phone
(507) 529-5655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D11829 MN Primary

Addresses

Primary practice location

15 7TH Ave NW
Rochester, MN 55901-6222

Mailing address

15 7TH Ave NW
Rochester, MN 55901-6222
Phone (507) 529-5655

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1679747125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 7TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016222",
            "telephone_number": "507-529-5655",
            "fax_number": "507-206-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 7TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016222",
            "telephone_number": "507-529-5655",
            "fax_number": "507-206-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPPER FAMILY DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "KOPPER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-529-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.