Coppelson Dental Inc

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

COPPELSON DENTAL INC

Practice address

10921 Wilshire Blvd Ste 912
Los Angeles, CA 90024-3906

Phone

(310) 579-9710

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Kevin Coppelson, M.D., D.D.S.NPI 1225322019

Title

Owner

Phone

(310) 579-9710

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Coppelson, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1225322019
  NPD Authorized official
• Sarah Feldman, RDH, CLC

  • Dental Hygienist
  • Los Angeles, CA
  • NPI 1679339428
  NPD
• Soroush Zaghi, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1780902536
  NPD
• Maryam Nouri Norouz

  • Dental Hygienist
  • Los Angeles, CA
  • NPI 1790293520
  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1740851617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 912",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906",
            "telephone_number": "310-579-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 912",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906",
            "telephone_number": "310-579-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11121 Los Alamitos Blvd # 201",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203603",
            "country_code": "US",
            "telephone_number": "714-230-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COPPELSON DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "COPPELSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-579-9710",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Robert Copeskey, D.C., C.C.F.C.
• Margaret Ruth Copi, M.D.
• Lori Ann Copilevitz, O.D.
• Coping Cabinet Licensed Clinical Social Worker
• Jaime Tai Ming Coplan
• Kevin Coppelson, D.D.S., M.D.
• Walter Gerard Coppenrath III, MD
• Angelica Noel Coppola, MS
• Aimee Coppolo
• Jeffrey Coprich

• Oral and Maxillofacial Surgery Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.