Diana Kopach, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50057499 Issued in NY

Practice address

192 Jericho Tpke
Mineola, NY 11501-1723

Phone

(516) 441-2214

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1730598913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 NELSON CT",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571724",
            "telephone_number": "917-363-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011723",
            "telephone_number": "516-441-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 E Main St",
            "address_2": "suite 109",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117872982",
            "country_code": "US",
            "telephone_number": "631-361-3577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPACH",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50057499",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50057499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mineoladentalwellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "192 Jericho Tpke",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115011723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Hyejung Kong, NP
• May W Kong, M.D.
• Stephanie Kong, DO
• Steven Eric Kong, MD
• Marlene Rachel Konner, MD
• Madhusudana R Korrapati, M.D.
• Binny Koshy, M.D.
• Tarush Kothari, M.D
• Assile Koubeissy, DO
• Gena Nicole Koutsounadis, DO

• General Practice Dentistry in Mineola, NY
• Providers in Mineola, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.