Clifford D Copus, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD0599 Issued in AK

Practice address

1565 Bragaw St
Ste 210
Anchorage, AK 99508-3109

Phone

(907) 279-4533

Fax

(907) 688-8935

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770694697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 BRAGAW ST",
            "address_2": "STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083109",
            "telephone_number": "907-279-4533",
            "fax_number": "907-688-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 BRAGAW ST",
            "address_2": "STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083109",
            "telephone_number": "907-279-4533",
            "fax_number": "907-688-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPUS",
        "first_name": "CLIFFORD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "DD0599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD0599",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cooperative Perfusion Services Alaska
• Barbara J Coopes, MD
• Jeffrey James Copeland, D.O.
• Demika Copelin
• Claire Coppel, PT
• Cristina Copus, D.O
• Catherine G Corbeil
• Genevieve Corbett, FNP
• Maura Ann-Janise Corbett
• Roberta Lynn Corbett

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.