Organization Active NPI

Brenda Copeland DDS PA

  • Dental Clinic/Center
  • Longview, TX
National Provider Identifier
1710127378
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
16043 Issued in TX
Legal business name
BRENDA COPELAND DDS PA
Practice address
723 N 4TH St
Longview, TX 75601-5412
Phone
(903) 753-7515
Fax
(903) 753-0003
NPI assigned
Feb 23, 2009
Last updated
Feb 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
BRENDA COPELAND DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Dr. Brenda Kay Copeland, 02/29/1960NPI 1285704775
Title
Dentist
Phone
(903) 753-7515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 16043 TX Primary

Addresses

Primary practice location

723 N 4TH St
Longview, TX 75601-5412

Mailing address

723 N 4TH St
Longview, TX 75601-5412
Phone (903) 753-7515

National Provider Directory

National Provider Directory

Locations

723 N 4th St
Longview, TX 75601
Phone (903) 753-7515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1710127378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015412",
            "telephone_number": "903-753-7515",
            "fax_number": "903-753-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015412",
            "telephone_number": "903-753-7515",
            "fax_number": "903-753-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA COPELAND DDS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRENDA  COPELAND DDS",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "903-753-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "02/29/1960"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "16043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.